- Bristol Myers Squibb (Tampa, FL)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...of contingent/portfolio agreements, legal requests, SOX compliance, deal analytics, contract performance analytics and ad hoc data analytics +… more
- AdventHealth (Maitland, FL)
- …revenue. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... is not compromised. * Responsible for timely entry of contract data into the Managed Care...**The expertise and experiences youll need to succeed:** + Associate Required + Bachelor's in business or healthcare administration… more
- MyFlorida (Tallahassee, FL)
- …does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive ... responsibility: Fraud and Abuse Detection, Prevention, Overpayment Recovery, and Managed Care oversight. MPI operates with dynamic...and federal law, as well as the provisions of contract and Medicaid policy. This selected candidate is also… more
- RTX Corporation (Melbourne, FL)
- …as only US citizens are authorized to access information under this program/ contract . **Security Clearance:** None/Not Required **What You Will Do:** + Key material ... + Doctor on Demand, virtual doctor visits + Bright Horizons, child and elder care services + Teladoc Medical Experts, second opinion program + And more! **Learn More… more
- Molina Healthcare (St. Petersburg, FL)
- …investigative and law enforcement procedures with emphasis on fraud investigations. + Knowledge of Managed Care and the Medicaid and Medicare programs as well as ... in FWA or related work. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Health Care Anti-Fraud Associate (HCAFA). + Accredited Health Care Fraud… more
- Valor Health (Stuart, FL)
- … care . + Acts as point person within PACT Team. + Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient and ... VA medical centers. Our comprehensive set of services includes primary care , diagnostics, laboratory, telehealth, behavioral health, and more. About Our Benefits… more
- AmeriHealth Caritas (Orlando, FL)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... to support network operations. **Work Arrangement:** + Remote - Associate must be located in the state of Florida....+ 5 to 10 years of experience in the managed care /health insurance industry with demonstrated strengths… more
- Compass Group, North America (Gainesville, FL)
- …food cost controls, and presentation + Previous P&L accountability or contract - managed service experience is desirable + Strong supervisory, leadership, ... operation of multiple Food & Nutrition Services in more than one Acute Care Hospital in a given geography. Key Responsibilities: + Ensures client, customer… more
- Humana (Tallahassee, FL)
- …or more years of progressive network management experience + Experienced in negotiating managed care contracts with physician groups and ancillary providers + ... of variable factors. The Senior Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to providers for… more
- Collins Aerospace (Seminole, FL)
- …as only US citizens are authorized to access information under this program/ contract . Security Clearance: None/Not Required Raytheon Company Managed by Collins ... exam; color perception exam; depth perception exam; and/or additional company or contract requirements. Qualifications We Prefer: + Associate or bachelor's… more