- CenterWell (Tallahassee, FL)
- …professional experience in health-related strategy and operations positions, preferably in value-based care , particularly managed care or full risk models ... vision of the organization by evaluating and operationalizing high-impact complex care initiatives to drive quality and cost improvement for high-risk senior… more
- Valor Health (Okeechobee, FL)
- …the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of ... Primary Care Physician MD/DO Okeechobee, FL (http://maps.google.com/maps?q=1201+N.+Parrott+Ave+Okeechobee+FL+USA+34972) * Clinical...Description Valor Healthcare is looking for a passionate Primary Care Physician to join our team at the Community… more
- AdventHealth (Land O' Lakes, FL)
- …to assure a positive discharge outcome. Maintains knowledge of current managed care contracts, federal statutes, regulations and procedures. Qualifications ... are necessary and appropriate for the achievement of patient care outcomes within effective time frames on a specific...addition, the Case Manager will coordinate the plan of care among all members of the health care… more
- Molina Healthcare (South Florida, FL)
- …for internal meetings. **Preferred Experience** 3-5 years clinical practice with managed care , hospital nursing or utilization management experience. **Preferred ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- BayCare Health System (Sarasota, FL)
- …insurance, and benefit information. + Verifying insurance and benefits for all Medicare, Managed Care and Private Fee for Service Plans. Securing authorization ... area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.… more
- MyFlorida (Tallahassee, FL)
- …annually. DUTIES AND RESPONSIBILITIES: + Must maintain a working knowledge of Statewide Medicaid Managed Care Long Term Care (SMMC LTC) including eligibility ... MEDICAL HEALTH CARE PROGRAM ANALYST - 65000523 Date: Aug 19,...No: 859112 Agency: Elder Affairs Working Title: MEDICAL HEALTH CARE PROGRAM ANALYST - 65000523 Pay Plan: Career Service… more
- BayCare Health System (Largo, FL)
- …insurance, and benefit information. + Verifying insurance and benefits for all Medicare, Managed Care and Private Fee for Service Plans. Securing authorization ... area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.… more
- Cardinal Health (Tallahassee, FL)
- …long- and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial plans while planning for various ... Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain...serves as the first line of communication for Health Care Providers who require special handling. The position is… more
- MyFlorida (Tampa, FL)
- …Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid ... Managed Care (SMMC) program. The bureau's primary responsibility is ensuring that the managed care plans meet Medicaid contractual requirements, including… more
- Surgery Care Affiliates (Naples, FL)
- …medically related environment + Basic knowledge of accounting procedures + Strong managed - care expertise with Medicare, Medicaid, and/or third-party payers + ... Overview At SCA Health, we believe health care is about people - the patients we...As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for… more
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