- Evolent (Tallahassee, FL)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, ... or sanction by any state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person" by the Office of Inspector… more
- Humana (Tallahassee, FL)
- …and help us put health first** We're looking for an experienced and passionate Associate Director of AI Engineering to lead a team focused on building the agentic AI ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- AdventHealth (Minneola, FL)
- …the Minneola community. **The role you'll contribute:** The Care Management Facility Director has full accountability and oversight for the overall operations of the ... not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social Services, Readmission… more
- Aveanna Healthcare (Miami, FL)
- Home Health RN Executive Director of Operations ApplyRefer a FriendBack Job Details Requisition #: 207426 Location: Miami, FL 33166 Category: Nursing Salary: ... (English and Spanish) * Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant… more
- Humana (Tallahassee, FL)
- …and help us put health first** We are seeking a seasoned and strategic Director , Tax Accounting to lead our tax accounting and reporting function within a complex, ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Molina Healthcare (Jacksonville, FL)
- …standards and requirements established by the Centers for Medicare and Medicaid . **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of the ... within a managed care setting. **Preferred Education** Bachelor's degree Previous Director experience. To all current Molina employees: If you are interested… more
- Molina Healthcare (Orlando, FL)
- …Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous leadership ... Current State Medical License without restrictions (free of sanctions from Medicaid or Medicare) **PREFERRED EDUCATION:** Master's in Business Administration, Public… more
- CVS Health (Tallahassee, FL)
- …within Network; Examples include ensuring data standards are synchronized across Medicaid and Medicare platforms, ensuring duals workflows are support across ... experience in strategy and delivery leadership roles + 5+ years of Medicare/ Medicaid and/or Duals experience + Proven success navigating large scale cross functional… more
- AssistRx (Orlando, FL)
- …comply with all federal, state, and industry regulations, including anti-kickback statutes, Medicare/ Medicaid rules, FDA and OIG guidance. + Work closely with the ... pharmaceutical manufacturers and understanding of third-party payer systems (commercial, Medicare, Medicaid ). Skills & Competencies: + . Strong leadership and team… more
- IQVIA (Orlando, FL)
- …Execute the effective launch of new drugs in Managed Care accounts, PBMs, Medicaid PBMs, and State Government Accounts by introducing product lines to accounts with ... the goal to gain formulary inclusion and pull-through for the best interest of the client + Develop and build strong relationships with all key Accounts. + Collect competitor information, marketplace trends, and relevant client information to report to… more