- Humana (Tallahassee, FL)
- …experience in: pediatrics, behavioral health, and/or ASD; healthcare environment; including managed care experience. **OR** **Licensed Clinical Social Worker ... ACD. Additionally, this role serves as a Humana Military liaison to TRICARE beneficiaries, providers and others involved in... care . + Minimum of 1 year of managed care experience. The Care … more
- Cardinal Health (Tallahassee, FL)
- …Medicare, Medicaid , and various commercial markets. The Advisor of Managed Care -National Accounts is responsible for regional retail (chain) pharmacy ... accounts from a managed care contracting perspective. The primary purpose...Administrative Organization's (PSAO) efforts. This position will be a liaison for regional chain pharmacy PSAO members, supporting general… more
- MyFlorida (Tampa, FL)
- …of necessary MFC stakeholders including but not limited the MFC client's Medicaid Managed Medical Assistance (MMA) plan and CBC representative. Engages, ... This is a professional social services position for the Medical Foster Care (MFC) program reporting to the Registered Nursing Supervisor. The individual in… more
- Ascendis Pharma (FL)
- …+ Serves as scientific resource at key medical, scientific, and other managed care -related conferences as assigned Contributes to Ascendis Pharma's Medical ... The National Director, Field HEOR serves as a strategic scientific liaison responsible for developing and executing comprehensive Health Economics and Outcomes… more
- HCA Healthcare (Largo, FL)
- …of fiscal business plan. + Review and approve all financial reports, budgets, managed care contracts and major expenditures. + Direct, establish, review and ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...both inside and outside the hospital. + Act as liaison between the hospital advisory or Governing Board, the… more
- HCA Healthcare (Miramar, FL)
- …preferred. (ie ambulatory surgery center, hospital, doctors office) preferred + Knowledge of managed care payers and medical terminology is preferred Consider a ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...the collection agency + You will act as a liaison and administer contracts in collection of third party… more
- Molina Healthcare (Tampa, FL)
- …must be active and unrestricted in state of practice. * Call center experience. * Managed care experience. To all current Molina employees: If you are interested ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- AmeriHealth Caritas (Miami, FL)
- …providers. + 3 to 5 years of experience in the managed care /health insurance industry. + Medicare, Medicaid , Commercial, or ACA Exchange experience ... throughout the assigned territories. **Responsibilities:** + Serve as the primary liaison between the Plan and assigned providers, ensuring a deep understanding… more
- Elevance Health (Tampa, FL)
- …of education and experience which would provide an equivalent background. Understanding of managed care or Medicaid /Medicare strongly preferred. + For URAC ... when requested. + May assist with complex cases. + May act as liaison between Medical Management and/or Operations and internal departments. + Maintains and updates… more
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