- Mayo Clinic (Jacksonville, FL)
- …achieve quality clinical, financial, and patient satisfaction outcomes. The RN Case Manager provides leadership through education on case management /utilization ... is top-ranked in more specialties than any other care provider according to US News & World Report. As...for flexible coverage. + Vision: Affordable plan with national network . + Pre-Tax Savings: HSA and FSAs for eligible… more
- Meta (Tallahassee, FL)
- …of vision insurance across multiple providers 11. Experience with insurance formulary management and provider network strategies 12. Experience building ... 3. Manage Meta's product status under different formulary scenarios and in- vs. out-of- network provider conditions 4. Influence product development and support a… more
- CVS Health (Tallahassee, FL)
- …digital innovation. The Senior Manager in Commercial Network & Provider is responsible for product management leadership for multiple product teams. They ... overall product health, inclusive of technical health, and risk communication. They provide leadership and guidance on how to sequence and prioritize investments to… more
- MyFlorida (Bartow, FL)
- …being congestion and fatality free. The Work You Will Do: Access Management Manager This position will supervise staff and provide technical guidance for the ... ACCESS MANAGEMENT MANAGER - 55003001 Date: Dec...Work with Central Office and legal department regarding access management challenges and provide useful reviews, comments,… more
- Highmark Health (Tallahassee, FL)
- …with contractual terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and ... marketplace by staying abreast of changes to the business climate. Monitor provider reimbursement methods and PPO/DHMO/EPO network models and communicate changes… more
- HCA Healthcare (Tallahassee, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters ... Hospital which is a part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** HCA Florida...career path, we encourage you to apply for our Manager Case Management opening. We review all… more
- TD Bank (Jacksonville, FL)
- …**Line of Business:** Financial Crimes & Fraud Mgmt **Job Description:** The Senior Manager , Fraud Performance Management leads a team of highly-skilled managers ... operation teams (eg Loss Prevention Call Center). The Senior Manager Fraud Performance Management is responsible for...strategy to deliver fraud loss plan + Oversees the management of shifting network rules and liability… more
- Highmark Health (Tallahassee, FL)
- …policies and programs as necessary; may have budgetary responsibility and authority. + Provide oversight of all aspects of project management to ensure ... adherence to approved methodologies; coordinate resources, time, contingency plans and risk management . + Provide leadership to the department: lead and champion… more
- Harmony United Psychiatric Care (Winter Garden, FL)
- Company: Harmony United Psychiatric Care Job Title: Inhouse Counsel / Manager Legal, Compliance & Risk Management / Outpatient Clinics / Full-time Employment / ... part of Harmony United Healthcare LLC. We are a network of outpatient mental health clinics. We provide...and regulatory matters before courts and administrative bodies. + Provide legal advice on healthcare management , compliance… more
- Datavant (Tallahassee, FL)
- …vision for healthcare. **What We're Looking For** We are seeking an experienced Engineering Manager to lead our Identity & Access Management (IAM) team with a ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...this role, you will oversee the implementation and daily management of our IAM program, ensuring secure, efficient, and… more