- Molina Healthcare (St. Petersburg, FL)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** + 5 - 10 years' experience in Managed Care + 5 or more years hospital reimbursement methodologies + ... **Job Description** **Job Summary** The Lead Analyst, Reimbursement is responsible for administering complex...lines of business and expansion into new states. The Lead Analyst, Reimbursement will be primarily responsible for implementation,… more
- Banner Health (FL)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... Banner Health the best place to work and receive care . We are looking for a motivated, experienced **Profee...experience and expertise in support of a nationally-recognized healthcare leader . We offer stimulating and rewarding careers in a… more
- Prime Therapeutics (Tallahassee, FL)
- …work experience within medical and pharmacy drug management within a PBM or managed care organization, or oncology management experience if supporting oncology ... business initiatives and the delivery of innovative solutions. **Responsibilities** + Lead the vision, strategy, and implementation of integrating medical and… more
- Evolent (Tallahassee, FL)
- …regulatoryexpertisein Medicare, Medicaid, and Commercial + Experience in health plan operations and/or managed care highly desirable + 7+ years managing teams to ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
- Molina Healthcare (St. Petersburg, FL)
- …new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified ... services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to… more
- Sevita (Lecanto, FL)
- …for each person served. + Maintains a functional understanding of funding, managed care requirements, and licensing requirements for each person served. ... mission. **SUMMARY** Directs a department or program responsible for delivering health care services to clients/individuals. Manages staff RNs, and works in tandem… more
- AdventHealth (Tavares, FL)
- …delivery of patient care services, including but not limited to Medicare, Managed care , Medicaid, third party providers, challenges to current health care ... patient population. The Assistant Nurse Manager assures quality of care is delivered to our patients and demonstrates effective...the ANA Scope and Standard for Nursing Practice. + Lead the Employees Has a working knowledge of performance… more
- Evolent (Tallahassee, FL)
- …discussions . Experience building and developing team members . Knowledge of the managed care and oncology market trends (both payers and risk-bearing ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...& Enablement to join the growth team as a leader . Role Overview: The VP, Product Marketing & Enablement… more
- Prime Therapeutics (Tallahassee, FL)
- …12 years of work experience in medical and pharmacy drug management within a PBM or managed care organization + Must be eligible to work in the United States ... business initiatives and the delivery of innovative solutions. **Responsibilities** + Lead the development and assessment of innovative clinical solutions and the… 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