- Molina Healthcare (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. * Independently delivers training and presentations to… more
- Evolent (Tallahassee, FL)
- …is differentiated through content knowledge and proficiency + Personally initiate and foster executive level relationships at managed care organizations or ... facing role, this person must exude an energetic, strong executive presence and have a mission driven mentality to...cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers… more
- Ascension Health (Jacksonville, FL)
- …Review and Credentialing + Growth and Strategic Planning + Population Health + Managed Care + Oversees the development and continuous improvement of services, ... + Responsible for monitoring, measurement and quality improvement of clinical care utilizing evidence-based best practices to support, promote and oversee patient… more
- Humana (Tallahassee, FL)
- …first** The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care , PBM, market and regulatory insights to develop, and/or ... for Humana's Medicare line of business. + Utilizes broad understanding of pharmacy, managed care , PBM, market and regulatory insights to support the development… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …and is responsible for the establishment, development and execution of the payor, managed care , and payer contracting medical policy initiatives in collaboration ... coverage with payers.. + Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best possible reimbursement for… more
- AdventHealth (Altamonte Springs, FL)
- …medical staff providing guidance in case management, appropriate levels of care for patients, efficient utilization of resources(including appropriate length of ... activities. + Completes annual quantifiable review of the service provided by each executive contract in place with the hospital for the board quality committee. +… more
- AdventHealth (Altamonte Springs, FL)
- …planning, information systems utilization, financial management, budgeting, reimbursement, managed care , healthcare economics, medical practice management, ... programs, clinical staff development, case management, and clinical protocol development. + Managed care and health policy knowledge with a forward-thinking… more
- Wolters Kluwer (Tampa, FL)
- …information technology (HIT) provider working on the front lines of clinical care . Our talented team of product visionaries collaborate to provide advanced clinical ... that measurably improve clinical effectiveness by helping healthcare professionals provide optimal care for their patients. PHT's mission is to improve care … more
- Humana (Tallahassee, FL)
- …MPH, or other relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects ... and other health plans to millions. By integrating insurance with care delivery through CenterWell, Humana is improving healthcare access, coordination, and… more
- Veterans Affairs, Veterans Health Administration (Lake City, FL)
- …psychiatrist, nurse, social worker, admin support staff, ensuring a smooth continuum of care for Veterans in primary care clinic. The Program Manager, Mental ... (MHSL). All professional and academic processes and functions will be managed through their discipline-specific service chief (eg Social Work, Psychology). He/she… more