- Humana (Tallahassee, FL)
- …review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R) or ... part of our caring community and help us put health first** The Medical Director relies on medical background...and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will… more
- Humana (Tallahassee, FL)
- …+ Experience working in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing ... part of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts...role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside… more
- Humana (Tallahassee, FL)
- …or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice ... materials, internal teaching conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage… more
- CenterWell (Tallahassee, FL)
- …+ Utilizationmanagement experience in a medical management review organization, such as Medicare Advantage,managedMedicaid, or Commercial health insurance . + ... or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
- Humana (Miami Lakes, FL)
- …**Use your skills to make an impact** **Required Qualifications** + **Active Health Insurance License** required. + **Must reside in** **Miami-Dade County.** ... on state requirements). **Preferred Qualifications** + **Active Life and Variable Annuity Insurance License** . + Prior experience **selling Medicare products**… more
- Prime Therapeutics (Tallahassee, FL)
- …accreditation processes, and participates in committee review meetings within the Commercial, Medicare , Medicaid, and Health Insurance Marketplace for the ... and/or operations management experience related to, or within Pharmacy Benefit Management (PBM) or health insurance Must be eligible to work in the United States… more
- Centene Corporation (Tampa, FL)
- …with company's policies and programs. Provide greater access to health insurance , by providing education and assistance to Medicare individuals. Distribute ... health screenings. Provide Facilitated Enrollment, help facilitate the continuance of health insurance , and offer assistance with recertification. + Identify… more
- Highmark Health (Tallahassee, FL)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... experience in managed care pharmacy + 2 years of clinical account management experience in Medicare as part of the 4 year managed care experience + 2 years of… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** Individual Medicare Advantage (iMA) Rapid Solutions owns the MA Pricing Model (web app ... annual pricing of Humana's largest segment of business, individual plan Medicare Advantage. The team consists of actuaries and business technology professionals… more
- Humana (Tallahassee, FL)
- …experiences **Preferred Qualifications** + Medical management experience, working with health insurance organizations, hospitals and other healthcare providers, ... part of our caring community and help us put health first** The Corporate Medical Director relies on medical...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more