- Cardinal Health (Tallahassee, FL)
- …strategic customers within territory. + Support member pharmacies when there are specific managed care operations questions including contract questions and ... lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship… more
- MyFlorida (Fort Lauderdale, FL)
- …Medicaid managed care claim complaints and determining managed care compliance with the SMMC contract as it relates to claims processing. Examples ... Analyzes programmatic reports of claims and provider reimbursement issues/complaints to determine managed care plan compliance with contract provisions.… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position is On-Site The Behavioral Health Nurse - Managed Care is responsible for coordinating, monitoring, and delivering behavioral health services within a ... managed care environment. This role involves working...managed care environment. This role involves working closely with patients,...here do not create any implied or express employment contract between you and our company / our clients… more
- Cardinal Health (Tallahassee, FL)
- …Hours: M-F 8:30-5:00 pm EST (or based on business needs)** **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is responsible ... for finance related activities such as customer and vendor contract administration, customer and vendor pricing, rebates, billing (including drop-ships), processing… more
- Elevance Health (Lake Mary, FL)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and… more
- Molina Healthcare (Miami, FL)
- …analyst experience within a health care operations setting in a managed care organization supporting Medicaid, Medicare, and/or Marketplace programs, or ... equivalent combination of relevant education and experience. + Must have Contract configuration experience in Networx. + Experience with QNXT is preferred. +… more
- CVS Health (Tallahassee, FL)
- …**Required Qualifications** - Candidate must reside in Florida (FL) - 5 years experience in managed care quality and/or 3 years in Medicaid managed care ... - National Committee for Quality Assurance (NCQA) accreditation experience - Medicaid managed care experience - Master's Degree **Education** Bachelor's Degree… 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...develop contracting strategy and supports all aspects of the contract negotiation process. + Can work with multiple provider… more
- Humana (Tallahassee, FL)
- …experience in: pediatrics, behavioral health, and/or ASD; healthcare environment; including managed care experience. **OR** **Licensed Clinical Social Worker ... care . + Minimum of 1 year of managed care experience. The Care ...of the following requirements: + Our Department of Defense Contract requires US citizenship for this position. + Successfully… more
- Valor Health (Vero Beach, 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 Vero Beach, FL (http://maps.google.com/maps?q=372+17th+Street+Vero+Beach+FL+USA+32960) * physician Apply Job Type Full-time Description… more