- CVS Health (Tallahassee, FL)
- …experience, specifically Medicare Advantage products such as product development, clinical , claims , operations requirements, implementation, and plan sponsor ... each and every day. **Position Summary** The Product Implementation Manager role is responsible for product/plan approval and auditing,...participate in the annual Medicare BID cycle and the review of the yearly CMS required member materials. This… more
- HCA Healthcare (Sun City Center, FL)
- …members on analysis of risk assessment, historical and concurrent occurrence and claims data and national trends. . You will ensure responsibility for organizational ... licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager , VP must have current Florida license in Healthcare Risk Management (FL… more
- Surgery Care Affiliates (Tallahassee, FL)
- …do it. Each decision we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork + Accountability + Continuous improvement ... selected for Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits… more