- CenterWell (Orlando, FL)
- …+ Basic knowledge of Population Health Strategy + Bachelor's Degree + Medicare knowledge + Managed care experience + Value Based Care knowledge + Proven ... experience + Direct leadership experience and demonstrated ability to lead , coach and mentor teams + Proven interpersonal skills...of an interdisciplinary team + Solid understanding of medical care delivery, managed care financial… more
- MyFlorida (Tallahassee, FL)
- …waivers and home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review ... regulations, and guidelines. The incumbent will serve as the lead point of contact for their assigned Medicaid contracts...for carrying out research and policy development related to Managed Care Policy and Contract Development. Specific… more
- Molina Healthcare (Orlando, 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
- CenterWell (Orlando, FL)
- …an organization focused on continuously improving consumer experiences + Medicare knowledge + Managed care experience + Value Based Care knowledge ... TB. + Direct leadership experience and demonstrated ability to lead , coach and mentor teams + Proven interpersonal skills...of an interdisciplinary team + Solid understanding of medical care delivery, managed care financial… more
- CenterWell (Venice, FL)
- …consumer experience **Preferred Qualifications** + Basic knowledge of Population Health Strategy + Managed care experience + Value Based Care knowledge + ... setting + Direct leadership experience and demonstrated ability to lead , coach and mentor teams + Proven interpersonal skills...of an interdisciplinary team + Solid understanding of medical care delivery, managed care financial… more
- Evolent (Tallahassee, FL)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... **:** The **VP,** **Growth** **-** **Pay** **e** **r** will lead strategic partnerships with health plans. + Develop and...cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers… more
- Molina Healthcare (FL)
- …for Medicaid, Marketplace and Medicare/MMP * Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates ... **Job Summary** The Lead Analyst, Quality Analytics and Performance Improvement role...cleaning of data. * 5+ Years of experience in Managed Care Organization executing similar techno functional… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …role managing teams. + Strong knowledge of regulatory requirements, accreditation standards, and managed care principles. + Medicare Managed care ... Management, and Quality Improvement initiatives. This role ensures effective care coordination, promotes quality healthcare delivery, manages healthcare costs, and… more
- HCA Healthcare (Miramar, FL)
- …center, hospital, doctors office) preferred. + Working knowledge of Managed Care payers/contracts, Medicare and Medicaid payers/contracts, Medicare/Medicaid ... Managed Care payers/contracts and medical terminology are preferred Consider a...operational, and financial expertise of a Fortune 100 healthcare leader . At Surgery Ventures, we are committed to supporting… more
- Humana (Tallahassee, FL)
- …+ Advanced Degree (such as MSN, MBA, MHA, MPH). + Experience in managed care , health plan operations, or Medicare Advantage programs (including various ... initiatives, including root cause analysis, best practices to close care gaps. **Use your skills to make an impact**...to internal and external stakeholders. + Demonstrated ability to lead through influence and collaborate across teams. + Thrive… more