- Nchmd (Naples, FL)
- …medical care in a manner that is consistent with the terms of managed care and insurance contracts into which NCH Physician Group enters. Litigation. The ... is necessary for the patient's well-being. i) Serves as liaison to the medical staff to ensure matters of...level of care and type of service. Managed Care . a) Enhance administrative and medical… more
- Organon & Co. (Tallahassee, FL)
- **Job Description** **The Position** The Medical Science Liaison is a field-based professional with scientific, clinical and therapeutic area expertise responsible ... and scientific support for Organon's Dermatology programs. The Medical Science Liaison engages in scientific exchange with medical and scientific experts, including… more
- National Health Transport (Miami, FL)
- …with various healthcare facilities, dispatch centers, insurance agencies and managed care organizations + Act as a customer liaison with agencies and ... marketing + Research and answer customer inquiries + Obtain insurance or managed care authorizations + Communicate and document service delays + Actively work… more
- Humana (Tallahassee, FL)
- …experience in: pediatrics, behavioral health, and/or ASD; healthcare environment; including managed care experience. **OR** **Licensed Clinical Social Worker ... ACD. Additionally, this role serves as a Humana Military liaison to TRICARE beneficiaries, providers and others involved in... care . + Minimum of 1 year of managed care experience. The Care … more
- Veterans Affairs, Veterans Health Administration (Daytona Beach, FL)
- …highly qualified candidate(s). The incumbent will serve as a Complex t Patient Aligned Care Team (PACT) Physician located at the Daytona Beach VA Clinic in Daytona ... Beach, FL assigned to the Ambulatory Care Service. Assignments to other facilities within OVAHCS and...a panel of patients with complex chronic medical conditions managed under PCMM guidelines to reduce recurrent ED visits… more
- SCI Shared Resources, LLC (Orlando, FL)
- …associates celebrate lives. We celebrate our associates. Oversees the entire Personal Care Center operation and team members. The Supervisor is responsible for ... planning and directing the activities of the Personal Care Center associates and resources to optimize client family...external customers. + Proactively communicates and acts as a liaison between the Manager, staff and other location staff… more
- Cardinal Health (Tallahassee, FL)
- …business including Medicare, Medicaid, and various commercial markets. The Advisor of Managed Care -National Accounts is responsible for regional retail (chain) ... pharmacy accounts from a managed care contracting perspective. The primary purpose...Administrative Organization's (PSAO) efforts. This position will be a liaison for regional chain pharmacy PSAO members, supporting general… more
- BayCare Health System (Tampa, FL)
- …**On Call:** **No** **_This position requires Level II screening through the Florida Care Provider Background Screening Clearinghouse, managed by the Agency for ... area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.… more
- Intermountain Health (Tallahassee, FL)
- …payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. + Log findings and provides feedback ... to Hospital Billing AR Management, Cash Management, and Managed Care leadership. + Perform root cause...recommend and develop process improvement. + Serve as a liaison to internal teams to include the Epic Contract… more
- HCA Healthcare (Bradenton, FL)
- …contracting issues. + Provides medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials ... regarding delegated utilization management and disease management operations under managed care contracts. Meets all regulatory/contractual/accreditation requirements… more
