- Molina Healthcare (FL)
- …and productivity is important. Preferred candidates will have previous case management, managed care , hospital, and/or home health experience._ _This role is ... health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager … more
- CenterWell (Tallahassee, FL)
- …professional experience in health-related strategy and operations positions, preferably in value-based care , particularly managed care or full risk models ... vision of the organization by evaluating and operationalizing high-impact complex care initiatives to drive quality and cost improvement for high-risk senior… more
- BayCare Health System (Sarasota, FL)
- …insurance, and benefit information. + Verifying insurance and benefits for all Medicare, Managed Care and Private Fee for Service Plans. Securing authorization ... Coordination Assistant will work under the direction of the Care Transition Coordinator or RN Case Manager ...the Care Transition Coordinator or RN Case Manager to establish and maintain a positive working relationship… more
- BayCare Health System (Largo, FL)
- …insurance, and benefit information. + Verifying insurance and benefits for all Medicare, Managed Care and Private Fee for Service Plans. Securing authorization ... Coordination Assistant will work under the direction of the Care Transition Coordinator or RN Case Manager ...the Care Transition Coordinator or RN Case Manager to establish and maintain a positive working relationship… more
- AbbVie (Pensacola, FL)
- …Commercial pharmaceutical industry experiences such as physician/account-based selling, training, managed health care or marketing preferred. English language ... lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For… more
- AdventHealth (Maitland, FL)
- …bring to the team:** + Collects all data necessary for Medical Staff, Malpractice and Managed Care credentialing within 30 days of signed Letter of Intent (LOI) ... (Data Credentialing System); populate initial credentialing application for Risk and Managed Care + Provides credentialing information and detailed instructions… more
- Elevance Health (Tampa, FL)
- …ICU, Critical Care preferred. + Prior "telephonic" Case Management experience with a Managed Care Company preferred + Certification as a Case Manager . + ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care ...respond to emails/instant messages in a timely fashion. + Managed Care (Home Heath, Insurance, Inpatient) experience.… more
- HCA Healthcare (Ocala, FL)
- …and Qualifications** Seeking a Contract Analyst, who is responsible for translating managed care terms and model relevant parameters in Concuity/Clear Contracts ... **What you will do in this role:** + Model managed care contracts through the Concuity Calc...of ad hoc analyses as assigned by departmental Director, Manager and Team Leads + Performs Peer to Peer… more
- CenterWell (Tallahassee, FL)
- …The Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care , PBM, market and regulatory insights to develop, and/or ... lines of business. + Utilizes broad understanding of pharmacy, managed care , PBM, market and regulatory insights...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …and is responsible for the establishment, development and execution of the payor, managed care , and payer contracting medical policy initiatives in collaboration ... with payers.. + Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best possible reimbursement for products and… more