• Senior Program Manager , Medicare

    Molina Healthcare (FL)
    **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and… more
    Molina Healthcare (10/17/25)
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  • Sales Manager , Medicare National…

    Molina Healthcare (St. Petersburg, FL)
    **Job Description** **Job Summary** The Distribution Manager at Molina Healthcare will be a critical team member responsible for making Molina a market leader in the ... different products that Molina offers in the Marketplace and Medicare space. This individual will be part of a...the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
    Molina Healthcare (11/21/25)
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  • Medicare Sales Field Agent - CarePlus Palm…

    Humana (West Palm Beach, FL)
    …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your… more
    Humana (10/04/25)
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  • RN Care Manager - Remote

    Humana (Tallahassee, FL)
    …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...information **Additional Information - How we Value You** * Benefits starting day 1 of employment * Competitive 401k… more
    Humana (11/19/25)
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  • Manager , Medical Economics (Medicaid)…

    Molina Healthcare (Tampa, FL)
    **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB QUALIFICATIONS** **Required… more
    Molina Healthcare (11/09/25)
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  • Program Manager , Healthcare Services…

    Molina Healthcare (Orlando, FL)
    …online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional ... or other health care or management certification. * Leadership experience. * Medicaid/ Medicare population experience. To all current Molina employees: If you are… more
    Molina Healthcare (11/13/25)
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  • Regional Manager , Value-Based Programs…

    Molina Healthcare (Jacksonville, FL)
    **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based programs and ... program & contract design and implementation for marketplace, Medicaid and/or Medicare + Experience in a complex healthcare delivery environment, specifically with… more
    Molina Healthcare (11/09/25)
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  • Senior Manager , MarketPoint Sales

    Humana (Tallahassee, FL)
    …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare ... coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a solid understanding of the market they… more
    Humana (11/01/25)
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  • Field Access Manager - South Carolina…

    Merck (Tallahassee, FL)
    …information to HCP offices on how the products are covered under the benefit design (Commercial, Medicare , Medicaid) * Answer questions about coverage, including ... **Job Description** Field Access Manager The Field Access Manager (FAM)...compliance with healthcare regulations. The FAM role is a remote /field-based role that proactively provides approved education to defined… more
    Merck (11/27/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Orlando, FL)
    …highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/medical reviews of previously ... Procedure Coding (HCPC). * Experience demonstrating knowledge of Centers for Medicare and Medicaid Services (CMS) guidelines, MCG, InterQual or other medically… more
    Molina Healthcare (11/14/25)
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