- AdventHealth (Maitland, FL)
- …government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application ... and interim updates which may impact payers and products managed by other Managed Care ...and summarize data in a meaningful way Ability to lead and coordinate projects in circumstances of ambiguity and… more
- Bristol Myers Squibb (Tampa, FL)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...Care rebate systems (REACT$ and vendor interfaces) + Lead and assist with special projects as required (IRA,… more
- Molina Healthcare (Orlando, FL)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... Must be able to work in a cross functional team. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics, Computer Science **Required Experience** + 6+ years of progressive responsibilities in Data, Finance or Systems Analysis +… more
- Merck (Tallahassee, FL)
- …leaders or influential customers in large group practices, hospitals, or managed care organizations + Proven ability to manage, lead , coach, and inspire ... **Job Description** Customer Team Leader , Chronic Care Our Chronic ...Customer Experience Management, Customer Insights, Decision Making, Healthcare Sales, Lead Generation, Managed Care , Managing… more
- ChenMed (Largo, FL)
- …the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired + This position requires possession and ... Intensive Community Managers (ICCMs) will serve as a clinical lead for the Complex Care Team. They...necessary to meet their needs and engage them in care . As a clinical leader for the… more
- CenterWell (Tampa, FL)
- …degree in nursing or business health field + Previous experience working in a managed care field + 5 or more years of previous management/supervisor level ... a part of our caring community and help us put health first** The Manager Care /Case Management in **Tampa area (** **_this is not a remote position_** **)** is… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …and procedures for utilization review and discharge planning, ensuring compliance with managed care contracts and Medicare regulations. + Analyze productivity ... Tradition Hospital's team of caregivers that provide top-quality patient care to the communities in and around Port St....Serve as a clinical subject matter expert for teams lead by other disciplines. Minimum qualifications for the ideal… more
- Elevance Health (Tampa, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract/Cost of Care Consultant** **Locations:** This role requires associates to...Works on complex enterprise-wide initiatives and acts as project lead . **How you will make an Impact:** + Uses… more
- AdventHealth (Land O' Lakes, FL)
- …to assure a positive discharge outcome. Maintains knowledge of current managed care contracts, federal statutes, regulations and procedures. Qualifications ... and residencies for Respiratory and Nursing Opportunities to participate and lead in culturally diverse programs (Diversity, Equity & Inclusion, Employee Activity… more
- Elevance Health (Lake Mary, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract Cost of Care Consultant - VBC** **Location** : This role...Works on complex enterprise-wide initiatives and acts as project lead . + Uses analytic tools to track both health… more