- Actalent (Tampa, FL)
- …Bring + Active Pharmacy Technician license (required) + Previous experience in a managed care , PBM, or clinical pharmacy setting preferred + Strong communication ... This is a great opportunity to contribute to patient care behind the scenes, gain experience in a fast-paced...Oct 17, 2025. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions.… more
- AdventHealth (Tampa, FL)
- …to management. Maintains knowledge of third-party payor reimbursement guidelines and managed care contracts. Responsible for receiving and addressing accounts ... AdventHealth Division AdventHealth Tampa, a faith-based not-for-profit 626-bed tertiary-level acute care hospital located in the uptown district of Tampa, Florida,… more
- Teva Pharmaceuticals (Jacksonville, FL)
- …and virtual environments, and be proficient with technology * Knowledge of reimbursement, managed care , or marketing preferred * New product launch experience ... in for better health" and desire to be a leader in CNS, we're dedicated to addressing patients' needs,...access and outcomes for patients across all points of care , we're thoughtfully expanding our US sales teams. Sales… more
- Elevance Health (FL)
- …of 5 years of direct psychiatric and/or substance abuse experience and prior managed care experience; or any combination of education and experience, which ... depression, and insightful analytics to improve the delivery of care . The **Behavioral Health/EAP Consultant II** and department are...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Tampa, FL)
- …HS diploma or equivalent and a minimum of 2 years of experience in a managed care healthcare setting; or any combination of education and experience, which would ... serves as a subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (FL)
- …responsible Account Management, Sales or Operations experience in the PBM or managed care industry. + Possess thorough understanding of account management ... and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . This is an exceptional leadership opportunity to drive transformation and… more
- Humana (Tallahassee, FL)
- …of experience consulting/supporting large scale, strategic initiatives. + Previous healthcare or managed care experience, preferably in the Medicaid space. + ... moderate to substantial. This position provides the opportunity to lead /manage large cross-functional enterprise implementations that impact our members, providers,… more
- Elevance Health (FL)
- …interacting and assisting individuals throughout the NY State's health insurance programs; (Medicaid Managed Care , Child Health Plus, and the Essential Plan) is ... for providing education to potential members on the Affordable Care Act and the marketplace and facilitating new enrollments....is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Molina Healthcare (FL)
- …SKILLS & ABILITIES:** + 3+ seasons/years medical record collection experience. + 3+ years managed care experience. + Basic knowledge of HEDIS and NCQA **REQU** ... members help mentor other team members and take the lead on process and project improvement. These team members...+ Under the direction of the national and/or regional lead , the Medical Records Collector supports the annual HEDIS… more
- Molina Healthcare (Orlando, FL)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 10 years' experience in Managed Care , specifically government programs and/or Medicare/Duals Health Plan ... of assigned D-SNP markets. Serves as the D-SNP market lead responsible for individual market P&L performance in alignment...+ Under the leadership of the VP Medicare Segment Lead , this role will facilitate transparent and compliant execution… more