- CVS Health (Coral Gables, FL)
- …clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care ... clinical tools and information/data. + Utilizes case management processes in compliance with regulatory and company policies and procedures. + Facilitates… more
- Humana (Tallahassee, FL)
- …put health first** Humana's Marketing organization is seeking a Marketing Automation Manager who specializes in Adobe Experience Platform (AEP) and Next Best Action ... execution to join the team as a Senior Product Manager working anywhere in the US. As a Specialist...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- BrightSpring Health Services (Sarasota, FL)
- Our Company Rehab in Motion Overview The Area Manager works to develop and implement strategic plans while ensuring compliance with regulations and standards, ... resources, supervising staff, and maintaining quality patient care. The Area Manager also collaborates with other healthcare professionals to ensure effective… more
- Lundbeck (Fort Lauderdale, FL)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. **Pharmaceutical Environment/ Compliance ... Psychiatry Account Manager - Fort Lauderdale, FL Requisition ID: 6740...on our journey of growth! As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio,… more
- AdventHealth (Ormond Beach, FL)
- **Clinical Manager ** **AdventHealth** **Hom Health** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days Off from ... **Shift** : **Location:** **The role you'll contribute:** The HH Clinical Manager is responsible for development, implementation and monitoring of clinical… more
- ChenMed (Tampa, FL)
- …biohazard waste and medicine disposal, etc. + Conducts trainings and refreshers regarding Medicare and HIPAA compliance , ensures annual OSHA trainings occur and ... an astute sense of ownership; the successful General Center Manager will drive success of the center from all...+ Performs other duties as assigned and modified at manager 's discretion. **_Other responsibilities may include:_** + Conducts tours… more
- Healthfirst (FL)
- …and terminations. + Collaborate with internal teams (eg, sales, customer service, compliance ) to ensure seamless management of members. + Monitor ,report, and ... ensures core Enrollment and Billing activities are managed in compliance with State and CMS guidelines and to ensure...and Knowledge of NY lines of business such as Medicare NY, Medicaid, Child Health Plus, QHP, EP, HARP… more
- Molina Healthcare (Tampa, FL)
- …programs providing ongoing communication of goals, evaluation, and support to ensure compliance with standardized protocols and processes. + May engage and oversee ... years supervisory/management experience in a managed healthcare environment. + Medicaid/ Medicare Population experience with increasing responsibility. + 3+ years of… more
- CVS Health (Tallahassee, FL)
- …issues. + Manages operational aspects of the team (eg, budget, performance, and compliance ), and implements workforce and succession plans to meet business needs. + ... of 3 years managing/leading a team. + Experience working in Medicare , Medicaid, or Commercial Health Insurance. **Preferred Qualifications** + Experience working… more
- Healthfirst (FL)
- …implementing statistics and process control tools; and maintaining effective compliance and corrective action procedures. + Demonstrated knowledge in creating ... + Knowledge of at least two or more lines of business such as Medicare NY/NJ, Medicaid, Family Health Plus, Child Health Plus, NH Family + Experience managing… more