- MyFlorida (Tallahassee, FL)
- …policy language for: the Medicaid/CHIP report guides, contracts, and amendments; Dear Managed Care Plan letters, contract interpretations, policy ... home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug...This position requires that you obtain a Florida Certified Contract Manager certification within six months of… more
- Molina Healthcare (Miami, FL)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and… more
- Elevance Health (Miami, FL)
- …the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, ... in a health related field or certification as a care manager preferred. + Knowledge of medical...to interpret and apply member contracts, member benefits, and managed care products strongly preferred for associates… more
- Sedgwick (Tallahassee, FL)
- …Services Director **PRIMARY PURPOSE** : To determine account management strategies related to managed care client service plans; to be responsible for retention ... customer satisfaction, revenue growth, client surveys, and new business; to provide managed care program management for jumbo clients requiring dedicated staff,… more
- AdventHealth (Maitland, FL)
- …requirements. + Supports the overall mission of AdventHealth and the role of the Managed Care department in that mission. + Supports the contracting team, ... for each position may vary based on geographical location. **Category:** Managed Care **Organization:** AdventHealth Corporate **Schedule:** Full-time **Shift:**… 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 ... the Integrated Program Planning department. This position reports to the Sr. Finance Manager and works collaboratively with the Scheduling SME, Program Manager ,… more
- Compass Group, North America (Orlando, FL)
- …food cost controls, and presentation + Previous P&L accountability or contract - managed service experience is desirable + Strong supervisory, leadership, ... operation of Food & Nutrition Services in an Acute Care Hospital. The Associate Director of Food and Nutritional...This is an exciting opportunity for an energetic entrepreneurial manager who is constantly seeking a better way to… more
- Elevance Health (Tampa, FL)
- …Financial, Business, and Leadership acumen strongly preferred. + Prior experience with managed care , trend & healthcare analytics, provider networks, claims, ... for the future. + Identifies and develops best practices and cost of care improvement processes around physician, hospital and ancillary network contract … 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
- AdventHealth (New Smyrna Beach, FL)
- …staff members and lower cost. Direct reports include Med Staff Manager + Clinical Effectiveness including performance improvement, infection control and regulatory ... compliance Risk Management Care Management including Clinical Documentation Integrity/CDMP **PRINCIPAL DUTIES AND...quantifiable review of the service provided by each executive contract in place with the hospital for the board… more
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