- HCA Healthcare (Port St. Lucie, FL)
- …+ Provides medical consultation on contracting , pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, ... regarding delegated utilization management and disease management operations under managed care contracts. Meets all regulatory/contractual/accreditation requirements… more
- Evolent (Tallahassee, FL)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers...for healthcare and subscribed to the vision of value-based care + Strong familiarity with risk-based contracting … more
- Molina Healthcare (Miami, FL)
- …+ 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare ... discuss and resolve issues related to utilization management, pharmacy, quality of care , and correct coding, for example. + Independently delivers training and… more
- Grifols Shared Services North America, Inc (Gainesville, FL)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... and functions including Territory Sales Representatives, Regional Sales Directors, Managed Markets, the Product Brand Team and other necessary stakeholders.… more
- Prime Therapeutics (Tallahassee, FL)
- …including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director, Pharm Trade Relations leads a team of ... issues, contract analysis, and contract language needs in rebate contracting . + Serve as a government affairs expert including...experience within the PBM industry, with expert knowledge of Managed Medicaid, Medicare Part D, and health plans +… more
- CenterWell (Tallahassee, FL)
- …will lead the Revenue Cycle Management team for the CenterWell Senior Primary Care Organization. This individual will manage a small internal team of associates and ... centers + Collaborate closely with all departments in the Primary Care Organization (including Operations, EMR/Technology, Clinical, Medical Coding, Credentialing, … more
- Evolent (Tallahassee, FL)
- …discussions . Experience building and developing team members . Knowledge of the managed care and oncology market trends (both payers and risk-bearing ... organizations) . Passion for healthcare and subscribed to the vision of value-based care . Strong familiarity with risk-based contracting . Thrives in an… more
- Molina Healthcare (St. Petersburg, FL)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... and action plan, which includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate care at the most… more
- AdventHealth (Altamonte Springs, FL)
- …planning, information systems utilization, financial management, budgeting, reimbursement, managed care , healthcare economics, medical practice management, ... staff development, case management, and clinical protocol development. + Managed care and health policy knowledge with...of Medical, Clinical, IT Integration, Population Health Initiatives, and Contracting models of care to meet evolving… more
- Teleflex (Orlando, FL)
- …Anesthetist's (CRNA's), other members of the anesthesia team and various health care professionals in operating rooms, surgical centers, as well as hospital ... by managing relationships and serving as the key point of contact in acute care accounts from initial lead outreach to order fulfilment of Teleflex's portfolio of… more