- Actalent (Orlando, FL)
- …Skills + Certified Pharmacy Technician (CPhT). + Experience in pharmacy operations, appeals, managed care , claims processing, and handling denials. + Strong data ... entry and customer service capabilities. + Proficient in computer systems and applications. + Ability to work independently in a remote environment. Additional Skills & Qualifications + National Pharmacy Technician Certification (CPhT) preferred; required for… more
- Molina Healthcare (St. Petersburg, FL)
- …and experience **Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 1-3 years formal training in Business Analysis and/or Systems Analysis… more
- Centene Corporation (Tallahassee, FL)
- …preferred. 5+ years project implementation, product or program management experience. Managed care or prescription benefit management experience preferred.Pay ... Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with… more
- Molina Healthcare (FL)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 10 years' experience in Managed Care , specifically government programs and/or Medicare/Duals Health Plan ... Operations or equivalent combination of education and experience. + Strong leadership in a matrixed environment + Demonstrated adaptability and flexibility to a rapidly moving business environment. + Background analyzing technical performance and driving teams… more
- Molina Healthcare (Tampa, FL)
- …or equivalent combination of relevant education and experience + Medicare and/or Medicaid Managed Care experience + Quantitative aptitude + Strong leadership in ... a matrixed environment + Strong project management skills and ability to manage multiple, competing priorities and projects simultaneously. + Excellent communication and people skills, including ability to effectively collaborator with business unit leaders,… more
- Molina Healthcare (Orlando, FL)
- …experience and at least 2 years experience in the overread role. + 3+ years managed care experience. + Advanced knowledge of HEDIS and NCQA. **PR** **E** **FE** ... **R** **RED L** **I** **C** **E** **N** **S** **E,** **C** **E** **R** **TI** **FI** **C** **A** **T** **I** **O** **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment **PHY** **S** **I** **C**… more
- Actalent (Orlando, FL)
- …order entry systems and basic printer troubleshooting. + Exposure to healthcare or managed care environments. Work Environment his is a fully remote position ... with training conducted on an alternative schedule. During the training period, the work hours are Monday through Friday, either8:30 AM to 5:00 PMor9:00 AM to 5:30 PM. Upon completion of training, the regular schedule shifts to Tuesday through Friday from… more
- Hologic (Orlando, FL)
- …process. + Familiarity with clinical and economic outcome data, reimbursement, and managed care policies and procedures **Education:** + Bachelor's Degree from ... an accredited university required. **Experience:** + One year of sales or transferrable experience is required; business-to-business sales experience highly preferred. **Additional Details:** + The total compensation range for this role is $95,000 - $100,000.… more
- Centene Corporation (Tallahassee, FL)
- …diploma or equivalent. 3+ years of pharmacy experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred. Prior experience ... using analysis tools or systems (ex:** web based, custom, proprietary, etc.). Experience in the implementation of quality process improvement efforts. Experience documenting requirements, creating training materials and working directly with end users.… more
- Molina Healthcare (Orlando, FL)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 3-5 years of formal training in Project Management + Experience… more