- CenterWell (Venice, FL)
- …consumer experience **Preferred Qualifications** + Basic knowledge of Population Health Strategy + Managed care experience + Value Based Care knowledge + ... member of an interdisciplinary team + Solid understanding of medical care delivery, managed care financial arrangements and reimbursement + Bachelor's… more
- Molina Healthcare (Orlando, FL)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... and action plan, which includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate care at the most… more
- CenterWell (The Villages, FL)
- …a hard-working and dedicated Referral Coordinator, to prepare and process all managed care referral paperwork, schedules and pre-registers patients for exams ... + **This position is Onsite** + Prepares and processes all managed care referral paperwork. + Gathers pertinent information from physicians, nurse practitioners… more
- AdventHealth (Altamonte Springs, FL)
- …planning, information systems utilization, financial management, budgeting, reimbursement, managed care , healthcare economics, medical practice management, ... programs, clinical staff development, case management, and clinical protocol development. + Managed care and health policy knowledge with a forward-thinking… more
- CenterWell (Casselberry, FL)
- …+ Medicare knowledge + Bachelor's Degree + Bilingual in both English and Spanish + Managed care experience + Value Based Care knowledge + Proven ability ... member of an interdisciplinary team + Solid understanding of medical care delivery, managed care financial arrangements and reimbursement + Bachelor's… more
- CenterWell (Plant City, FL)
- …**Use your skills to make an impact** **Requirements:** + Progressive experience in managed care contracting and / or provider relations. + Excellent customer ... + Microsoft Word, Power Point, and Excel + Progressive experience in managed care contracting and / or provider relations. + Bilingual English (read, write… more
- IQVIA (Orlando, FL)
- …and clients. **RESPONSIBILITIES** + Execute the effective launch of new drugs in Managed Care accounts, PBMs, Medicaid PBMs, and State Government Accounts by ... Client's product. + Manage and maintain existing contracts. + Represent the Managed Markets organization at priority national payer organizations (eg, AMCP, EMPAA) +… more
- Centers Plan for Healthy Living (Margate, FL)
- …proficiency + Strong multi-tasking abilities Preferred: + Experience working within a managed care environment Specific Technical Skills Preferred: + Computer ... a multidisciplinary care team to assist with the care of members enrolled in our Managed Long Term Care program and facilitate authorization requests… more
- Evolent (Tallahassee, FL)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... long cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers and risk-bearing organizations) + Passion… more
- University of Miami (Miami, FL)
- …and improve system processes, ensure that new and current employees attend + UChart, managed care and other training courses related to practice operations. + ... problems encountered by the staff pertaining to UMMG policies and procedures, insurance/ managed care contracts, referrals, etc. c. Aid in setting up clinics for… more