- 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
- IQVIA (Orlando, FL)
- …educate patients or prescribers. With the right experience, you can help deliver medical breakthroughs in the real world. We are excited to announce that currently ... 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… more
- BrightSpring Health Services (Clearwater, FL)
- …compliance with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as state reimbursement regulations + ... nursing and direct care staff, family and/or guardians, and community medical providers and professional consultants in cooperation with operations management +… more
- HCA Healthcare (Tallahassee, FL)
- …individual is recognized. Submit your application for the opportunity below: Medical Records SpecialistHCA Florida Capital Hospital **Benefits** HCA Florida Capital ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the… more
- Prime Therapeutics (Tallahassee, FL)
- …including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid . The Sr Director , Pharm Trade Relations leads a team of ... Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical Trade Relations is responsible for managing Prime's Trade Relations… more
- AdventHealth (Davenport, FL)
- …innovative therapies, new research, leading-edge technology and an extensive team of medical specialists. High-quality care that has been recognized by the Joint ... ANM is a registered professional nurse who supports the Nurse Manager or Director in overall operations of their assigned unit.Is able to demonstrate critical… more
- HCA Healthcare (Orlando, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...and Qualifications** The Disability Advisor Manager reports to Area Director and/or Regional Director and is responsible… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- … medical necessity for the requested level of care/patient status to the Medical Director . + Proactively identifies and resolves delays and obstacles for safe ... in utilization of resources, avoidable days/denials. Works in collaboration with Appeals Management/ Medical Director in the appeals process. + Responsible for… more
- CenterWell (Deerfield Beach, FL)
- … medical expertise with the care team through daily huddles. . Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- Cardinal Health (Tallahassee, FL)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more