- ChenMed (St. Petersburg, FL)
- …the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired + This position requires possession and ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...great people to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who… more
- MyFlorida (Tallahassee, FL)
- …the Bureau's responsibility: Operations, Data Detection, Investigations, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic and ... 68039493 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Dec 4, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify… more
- MyFlorida (Fort Lauderdale, FL)
- …a fast-paced, team-based work environment. This position is responsible for reviewing Medicaid managed care claim complaints and determining managed care ... programmatic reports of claims and provider reimbursement issues/complaints to determine managed care plan compliance with contract provisions. Coordinates and… more
- CVS Health (Tallahassee, FL)
- …**Preferred Qualifications** + Motivational interviewing skills + Call Center experience + Managed Care experience + 1-4 years of experience in healthcare ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...with heart, each and every day. **Position Summary** The Care Management Associate (CMA) role is a full-time remote… more
- Elevance Health (Tampa, FL)
- …or related field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... **Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role...as required by law. The **Provider Contract Cost of Care Consult Senior / VBC** is responsible for providing… more
- Elevance Health (Lake Mary, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Cost of Care /Provider Contracting Data Analyst** **Location** : This role...is granted as required by law. The **Cost of Care /Provider Contracting Data Analyst** is responsible for provides analytical… more
- Cardinal Health (Tallahassee, FL)
- …covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with ... seasoned expertise in the managed care industry, this leader translates the overarching market access sales strategy into actionable, target-exceeding results.… 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
- Elevance Health (FL)
- …broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. **Preferred Skills, Capabilities, and ... **Behavioral Health Care Manager II - Autism** **Location:** Virtual: This...is granted as required by law. The **Behavioral Health Care Manager II** is responsible for performing case management… more
- Molina Healthcare (Orlando, FL)
- …experience in hospital acute care , inpatient review, prior authorization, managed care , or equivalent combination of relevant education and experience. ... - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality… more