- Molina Healthcare (Tampa, FL)
- …Business, Health Administration or related field. **PREFERRED EXPERIENCE:** 10+ years managed care experience specifically within Risk Adjustment and/or Quality ... in lieu of Bachelor's Degree). **REQUIRED EXPERIENCE:** * 7+ years managed healthcare experience with proven relationship management responsibilities * Proven… more
- Humana (Tallahassee, FL)
- …health services research or health economics and outcomes research (HEOR) within a managed care or healthcare research organization + Experience in health equity ... a part of our caring community and help us put health first** The Lead Experience Researcher drives special projects to uncover the root cause of patient and… 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
- ChenMed (Margate, FL)
- …knowledge and skills: + Excellent clinical skills. + Knowledge and experience in a managed care delivery system. + Knowledge of clinical outcomes and quality ... within assigned center. + Partners with center manager to co- lead center stand-ups and deliver exceptional patient care...co- lead center stand-ups and deliver exceptional patient care across their respective teams. + Participates in center… more
- Evolent (Tallahassee, FL)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... 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
- ChenMed (North Miami, FL)
- …the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired + This position requires possession and ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...follows-up on multidisciplinary team meetings serving as host or lead for those conversations as needed. + Helps patients… more
- Highmark Health (Tallahassee, FL)
- …value streams, and population health management. **Preferred** + 7 years of experience in managed care , primary care management or other clinical setting. + ... for the Organization's value-based reimbursement programs and continuous improvement models. Lead or support key strategic initiatives across Enterprise and Markets… more
- HCA Healthcare (Sarasota, FL)
- …+ You are responsible for identifying patient accounts based on PPO, HMO, or other Managed Care Organizations + You will contact patients and provide updates on ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Medical...operational, and financial expertise of a Fortune 100 healthcare leader . At Surgery Ventures, we are committed to supporting… more
- HCA Healthcare (Sarasota, FL)
- …preferred. (ie ambulatory surgery center, hospital, doctors office) preferred + Knowledge of managed care payers and medical terminology is preferred Consider a ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Collections...operational, and financial expertise of a Fortune 100 healthcare leader . At Surgery Ventures, we are committed to supporting… more
- Elevance Health (FL)
- …+ 5+ years of clinical practice experience, with transition into payer, managed care , or healthcare leadership preferred. + Experience advising medical ... + **Real-time Decisioning & Analytics (RDA)** + **Cost of Care / Payment Integrity** + ** Care Management...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more