- NTT America, Inc. (Tallahassee, FL)
- …document, and escalate project risks, issues, and deficiencies, and support the development of mitigation strategies. + Lead process improvements and automation ... for Independent Verification and Validation (IV&V) services for the Florida Medicaid Enterprise Modernization program. This role supports the contract project… more
- AdventHealth (Maitland, FL)
- …actuarial services for all risk-based and value-based contracts. o Partners with the Business Development team in the financial structure, actuarial services, ... members. While under the direction of the PHSO Executive Leader , the CFO will have matrix reporting to a...to take action that will advance shared interests and business goals. . ** Lead through Mission and… more
- Prime Therapeutics (Tallahassee, FL)
- …relationships with key cross-functional partners; collaborate with account leadership and business development to develop and implement Go-To-Market strategies ... the account executive function; serve as point of escalation and accountable leader for issue resolution across clients. + Establish processes and tracking… more
- CenterWell (Tallahassee, FL)
- …our caring community and help us put health first** The IPA Coding Leader manages a diverse team responsible for ensuring clinical documentation supports accurate ... reflective of the disease prevalence within the population. The IPA Coding Leader partners with IPA strategic partners to develop market-specific strategies to… more
- Datavant (Tallahassee, FL)
- … Medicaid risk adjustment charts + Understanding of Medicare, Commercial and Medicaid risk adjustment business logic and coding + Knowledge and understanding ... Datavant is a data platform company and the world's leader in health data exchange. Our vision is that...and mentor fellow teammates, create and deliver training content, lead projects, and use a creative approach to get… more
- Amgen (Orlando, FL)
- …on how the products are covered under the benefit design (Commercial, Medicare, Medicaid ). + Serve as a payer expert for defined geography and promptly communicate ... and appeals across physician types + Strong collaboration and ability to lead cross functional partner meetings + Experience with commercial payers, Medicare plans,… more
- Humana (Tallahassee, FL)
- …+ 2+ years of project leadership and consulting experience. + Health Care Business Domains - Medicare, Medicaid , Group, Specialty etc. **Additional Information** ... help us put health first** Are you interested in leveraging technology and business strategy to deliver improved member experiences and health outcomes to Humana's… more
- Cardinal Health (Tallahassee, FL)
- …+ Lead a high-performing team, driving engagement, enablement, talent development , and succession planning + Translate complex operational and financial data ... and Payor Operations **Location** Nationwide, US **Position Summary** Senior executive leader responsible for leading all aspects of Navista's Physician Office's… more
- Elevance Health (Miami, FL)
- …work-life integration, and ensures essential face-to-face onboarding and skill development . **_National Government Services_** _is a proud member of Elevance ... contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior**… more
- Humana (Tallahassee, FL)
- …expect during your 12-week internship program** + **Strategic, High-Impact Work:** Lead meaningful projects aligned with critical business initiatives, designed ... students to contribute to enterprise level initiatives across a range of business functions. Interns will drive strategic projects, gain exposure to executive… more
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