• RN Care/Case Manager

    CenterWell (Jacksonville, FL)
    …food insecurity, navigation of and application for benefits including, Medicaid , HCBS, working to reduce costs associated with prescription medications, ... organizing schedules of follow up appointments, alleviating social isolation + Lead Interdisciplinary Team Meetings when indicated + Assess patient's family system,… more
    CenterWell (05/30/25)
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  • Senior Actuarial Analyst - REMOTE

    Prime Therapeutics (Tallahassee, FL)
    …on trend, benefit design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial ... support, and maintain financial and complex actuarial models + Lead , perform, and review data analyses, reporting, and projections...or PBM + Previous experience pricing Commercial, Medicare or Medicaid lines of businesses + 3 years of experience… more
    Prime Therapeutics (04/12/25)
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  • Payer Manager

    AdventHealth (Altamonte Springs, FL)
    …need for you and your family:** . Benefits from Day One . Career Development . Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise ... multi-state hospital providers; with a concentration on Medicare, state specific Medicaid , non-contracted payers, and Tricare. Consults with key revenue cycle… more
    AdventHealth (05/22/25)
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  • Manager, IFG Agnostic Call Center

    Humana (Tallahassee, FL)
    lead our Agnostic Call Center Sales Team within the IFG line of business . This leader will drive performance through strategic sales planning, coaching, and ... The ideal candidate will have a passion for team development and a proven ability to achieve and exceed...your skills to make an impact** **Key Responsibilities:** + Lead , coach, and develop a high-performing sales team to… more
    Humana (05/30/25)
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  • RN Clinical Supervisor

    Aveanna Healthcare (Clermont, FL)
    …to ensure safe, high-quality nursing care. + Collaborate with the operations and business development team. + Ensure compliance with State, Federal, Local, and ... environment. Responsibilities + Manage internal casework and evaluate nursing talent development . + Perform "Start of Care Assessments" and "Re-evaluations" to… more
    Aveanna Healthcare (05/31/25)
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  • RN Clinical Director

    Aveanna Healthcare (West Palm Beach, FL)
    …to transition patients to home care. + Collaborate with operations and business development teams. + Maintain and improve a comprehensive quality ... care. + Oversee internal case management, nursing talent evaluation, and professional development . + Conduct "Start of Care Assessments" and "Re-evaluations"… more
    Aveanna Healthcare (04/29/25)
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  • Medicare Member Materials Manager - REMOTE

    Molina Healthcare (Tampa, FL)
    …and corporate business objectives. Support for all Medicare lines of business the annual Medicare and Medicare- Medicaid Plan Applications and Plan Benefit ... Package design. Provides centralized year-round support in Medicare for the development and editing of core beneficiary communications, to include the Medicare and… more
    Molina Healthcare (04/30/25)
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  • Principal Actuary - REMOTE

    Prime Therapeutics (Tallahassee, FL)
    …of innovative actuarial modeling concepts, and provide pricing support for all lines of business . This position will also lead complex projects that are highly ... **Job Description** The Principal Actuary is responsible for supporting the development of actuarial concepts and providing thought leadership for Prime's existing… more
    Prime Therapeutics (03/28/25)
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  • Director, Applications (AI/Azure Databricks)…

    Molina Healthcare (Orlando, FL)
    …goals and strategies to achieve corporate objectives. * Serves as mentor, coach and leader to the Application Design and Development and Support teams. * Works ... Performance Assessment System. * Takes a leadership role in evolving Molina application development practices. * Works collaboratively with business and other IT… more
    Molina Healthcare (05/09/25)
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  • Pediatric Facility Director

    Aveanna Healthcare (West Palm Beach, FL)
    …Position Overview Aveanna Healthcare is seeking aPediatric Facility Directorto lead operations at ourPrescribed Pediatric Extended Care (PPEC) CenterinWest Palm ... Beach, FL. This role is ideal for a dynamic leader with experience inhealthcare management, social services, or operations. As Facility Director, you will oversee… more
    Aveanna Healthcare (04/02/25)
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