- Molina Healthcare (Tampa, FL)
- …experience in health plan setting in government programs management (Contract Manager ) **Preferred Experience** 7-9 years To all current Molina employees: If ... you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 -… more
- Molina Healthcare (St. Petersburg, FL)
- …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... the Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… more
- CVS Health (Tallahassee, FL)
- …available for highly motivated individual to lead a core team as a Hybrid Field Sales Medicare Manager . This position will be a part of a specialized team who ... achieve monthly sales goals using our competitive portfolio of Medicare Advantage & DSNP products within the assigned market....Advantage & DSNP products within the assigned market. The manager will support their team with a proven ability… more
- Molina Healthcare (St. Petersburg, FL)
- …review and/or member appeals and grievance processing/resolution, including 3 years in a manager role. * Experience with Medicare Regulations, Medicare ... Summary** Responsible for leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible for reviewing and… more
- Elevance Health (Tampa, FL)
- ** Manager I Medical Management (Prior Authorizations) - Florida Medicare ** **Office Locations:** This role is based in Florida at either our Tampa or Miami ... employment, unless an accommodation is granted as required by law._ The ** Manager I Medical Management (Prior Authorizations)** is responsible for managing a team… more
- Molina Healthcare (Orlando, FL)
- …members, and manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EXPERIENCE:** Experience with Medicare and Medicare ... Molina Healthcare is hiring on our outbound Medicare Member Engagement team. This role is remote...and will work 8am to 430pm Pacific Standard Time. Medicare Member Engagement Specialists will be making outbound welcome… more
- Molina Healthcare (Jacksonville, FL)
- …Summary** Responsible for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with ... the standards and requirements established by the Centers for Medicare and Medicaid. **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of… more
- Elevance Health (Tampa, FL)
- ** Medicare Risk Adjustment Advanced Analytics Consultant** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... unless an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics Consultant** is responsible for employing advanced… more
- Elevance Health (Tampa, FL)
- ** Medicare Risk Adjustment Advanced Analytics Analyst** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics Analyst** is responsible for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- HCA Healthcare (Gainesville, FL)
- …Improvements Act (CLIA) as well as compliance with standards of the Centers for Medicare & Medicaid Services (CMS). The Manager supervises all employees in the ... each individual is recognized. Submit your application for our Manager Cell Therapy Lab opening with HCA Florida North...benefits may vary by location._** We are seeking a(an) Manager Cell Therapy Lab for our team to ensure… more