- CenterWell (North Miami, FL)
- …and recreational activities + Health Plan experience, including Medicare/ Medicaid + Electronic Medical Record (ECW) knowledge/experience **Additional Information:** ... facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- CenterWell (Tallahassee, FL)
- …Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience in managed ... members + Previous management experience and ability to lead teams + Previous program or project management experience + Proven success in leading teams (both direct… more
- Centene Corporation (Tallahassee, FL)
- …flexibility. Applicants must reside in Florida. This department serves our Medicaid members through their pregnancy journey. LPN and Case Management experience ... or resources, as appropriate + May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions,… more
- Elevance Health (Tampa, FL)
- …management, QI, Med Review). + Provides information regarding network providers or general program information when requested. + May assist with complex cases. + May ... background. **Preferred Qualifications:** + Understanding of managed care or Medicaid /Medicare strongly preferred. + Fully Bilingual (English/Spanish) strongly preferred.… 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 ... performance indicators (KPI's) with multiple targets depending on Medicare Program and State requirements. **Job Qualifications** **Required Education** Associate's… more