- Cardinal Health (Tallahassee, FL)
- …for all lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the ... within territory. + Support member pharmacies when there are specific managed care operations questions including contract questions and analysis related… 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...or master's degree in nursing (BSN/MSN) + Certified Case Manager (CCM) or similar certification + Fluent in Spanish… 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**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (FL)
- **Behavioral Health - Care Manager II** **Location** : _Virtual:_ This role enables associate to work virtually full-time, with the exception of required ... unless an accommodation is granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric and substance abuse or… more
- Molina Healthcare (Tampa, FL)
- …in health care , including at least 1 year of experience in a direct patient care , and/or managed care , care management, or behavioral health setting, ... Job Summary Provides support for health management activities within the care management/ care coordination functions. Collaborates with multidisciplinary team… more
- Prime Therapeutics (Tallahassee, FL)
- …experience in clinical operations, quality, network, pharmacy or project management OR a managed care pharmacy residency. + Proven ability to plan, organize, ... Manages financial aspects of account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed , and EBIDTA targets achieved for the… more
- RTX Corporation (Largo, FL)
- …for a security clearance **Security Clearance:** Secret - Current Raytheon, managed by Collins Aerospace. Collins Mission Systems Resilient Connectivity Products ... (RCP) is seeking a Program Manager to support a Strategic Communications (SC) obsolescence refresh...apply company policies, ensure risk mitigation activities are successfully managed and establish and execute long-term strategic goals. This… more
- Molina Healthcare (St. Petersburg, FL)
- …and at least 3 years experience in provider contract negotiations in a managed health care setting ideally negotiating different provider contract types ... of relevant education and experience. * Working familiarity with various managed health care provider compensation methodologies, primarily across Medicaid… more
- CVS Health (Plantation, FL)
- …3 years work experience in healthcare. + Minimum of 5 years' experience in Managed Care & Medicare business segment environment servicing providers with exposure ... 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. R0772374 Network Relations Manager - Hybrid FL - Miami-Dade or Broward counties… more
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