- Molina Healthcare (Orlando, FL)
- …10+ years relevant experience, including 5+ years of clinical practice and 3+ years HMO/ Managed Care experience **OR** 5 years experience as a Molina Medical ... inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that authorization decisions are rendered… more
- Superior Contracting & Maintenance (Tampa, FL)
- Company: Superior Contracting & Maintenance Service Areas: AL, AZ, GA, FL, NC, OK, SC, TN, & TX To Apply: Text (NO CALLS - send Name, Trade(s), and Location) +1 ... 4703479197 About the Opportunity Superior Contracting & Maintenance is seeking insured part-time landscaping and...service contractors to complete residential work orders across our managed properties. We're not a lead service-we assign the… more
- Molina Healthcare (Miami, FL)
- …equivalent combination of education and experience **Required Experience** * 5-7 years managed care experience, including min. 2 years of supervisory experience ... Association** N/A **Preferred Education** Bachelor's Degree **Preferred Experience** * 7+ years managed care experience * QNXT; SQL experience * Crystal Reports… more
- Molina Healthcare (FL)
- …or equivalent combination of education and experience **Required Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or ... level (or higher) **Preferred Education** Bachelor's Degree **Preferred Experience** + 5+ years managed care experience + QNXT; SQL experience + Crystal Reports… more
- Carnival Cruise Line (Miami, FL)
- …Effectively coordinate and collaborate with stakeholders to ensure ownership and contracting is deliberately/consciously managed and applied. + Measuring and ... compliance targets are met and that corporate reporting requirements are managed . + Responsible for all governance group preparation and administration through… more
- Evolent (Tallahassee, FL)
- …professional experience in claims-based healthcare analytics with a payer, provider, vendor, managed care , or related healthcare consulting entity + Extensive ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Centene Corporation (New Port Richey, FL)
- …Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...claims, contracting utilization management, or clinical operations. Project management experience… more
- HCA Healthcare (Sunrise, FL)
- …team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Prime Therapeutics (Tallahassee, FL)
- …account management, and strategy development experience in PBM, pharmacy, health plan and/or managed care + 10 years of leadership/people management experience + ... Develop a recurring process to solicit product, financial and contracting feedback from the market and establish a framework...& Experience** + Bachelor's degree in Finance, Business, Health Care Administration, or related area of study + 15… more
- Datavant (Tallahassee, FL)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... equipment procurement, repair, and installation, ensuring all assets are properly managed and maintained. + Conducts quality inspections, analyzes vendor scorecards… more