- HCA Healthcare (Miramar, 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 ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Molina Healthcare (Miami, FL)
- …years clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics or health care environment, or ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… 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 ... improving to make Banner Health the best place to work and receive care . Are you an experienced **Hematology Oncology Physician Coder** looking for the opportunity… more
- HCA Healthcare (Lehigh Acres, FL)
- …the annual budget. Departmental responsibility typically includes Accounting, Reimbursement, Managed Care , Health Information, and Utilization Review. Functions ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...do in this role: + You will assume a lead role in analyzing and exploring means of reducing… more
- Elevance Health (Miami, FL)
- …is filing a role required by a State agency. **Preferred Qualifications:** + Extensive managed care or Medicare knowledge. + MPH or MS in Epidemiology preferred, ... and implements clinical and non-clinical activities that impact health care quality cost and outcomes. + Supports the Medical...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- CVS Health (Miami, FL)
- …and exercise sound judgment in problem-solving. **Preferred Qualifications** + Familiarity with managed care processes, healthcare sales, or pharmacy benefits. + ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Humana (Tallahassee, FL)
- …experience in Microsoft Excel including formulas, pivots, charts, and graphs + Experience in managed care or health care sector + Prior experience working ... Projects:** In addition to routine reporting, this role will lead larger scope projects related to clinical data needs...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Amgen (Orlando, FL)
- …in public or private third-party access arena or pharmaceutical industry in managed care , clinical support, and/or sales + Strong medical reimbursement ... across physician types + Strong collaboration and ability to lead cross functional partner meetings + Experience with commercial...us** As we work to develop treatments that take care of others, we also work to care… more
- CenterWell (Tallahassee, FL)
- …Medicare and/or Medicaid experience + 3 or more years clinical experience in managed care + Ability to manage end-to-end-processes + Understand Humana's business ... create value for Humana members + Previous management experience and ability to lead teams + Previous program or project management experience + Proven success in… more
- Centene Corporation (Tallahassee, FL)
- …or related field required. MBA or MHA degrees. + 10+ years of experience in managed care network development. + 3+ years of experience in government programs. + ... for developing and managing the provider network strategy for Centene Corporation. Lead all aspects of provider network strategy including, but not limited to… more