• Associate Director, Managed…

    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
    Bristol Myers Squibb (07/04/25)
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  • Physician Contract Administration Hybrid

    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 you'll need to succeed:** + Associate Required + Bachelor's in business or healthcare administration… more
    AdventHealth (06/06/25)
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  • Associate Quality Practice Advisor

    Centene Corporation (Spring Hill, FL)
    …Administration, Social Work or related field or equivalent work experience within a managed care environment related to HEDIS record review, quality improvement, ... visits and outcomes. + Reports critical incidents and information regarding quality of care issues. + Communicates with external data sources as needed to gather… more
    Centene Corporation (07/31/25)
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  • Medical/Health Care Program Analyst

    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
    MyFlorida (07/25/25)
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  • Representative, Provider Relations HP

    Molina Healthcare (FL)
    …* 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare ... Health Plan and its service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate 's Degree or equivalent provider contract , network development and… more
    Molina Healthcare (08/02/25)
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  • Investigator, Special Investigative Unit…

    Molina Healthcare (Miami, 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
    Molina Healthcare (07/24/25)
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  • Provider Network Account Executive II

    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 anywhere in the US.; +...+ 5 to 10 years of experience in the managed care /health insurance industry with demonstrated strengths… more
    AmeriHealth Caritas (07/23/25)
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  • Registered Nurse

    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
    Valor Health (07/29/25)
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  • Systems Director Food And Nutrition

    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
    Compass Group, North America (07/25/25)
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  • Director of Dining Services

    Compass Group, North America (Tampa, FL)
    …food cost controls, and presentation + Previous P&L accountability or contract - managed service experience is desirable + Strong supervisory, leadership, ... expectations. They are responsible for all foodservice-related activities; including care (retail, cafeteria, catering etc), quality improvement, sanitation, infection… more
    Compass Group, North America (07/10/25)
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