- Cardinal Health (Tallahassee, FL)
- …about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while ... experience preferred + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' ... with resources appropriate for the care and wellbeing of members The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker**… more
- Humana (Hallandale Beach, FL)
- …company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service members that are eligible to participate ... state in a remote telephonic environment. The Behavioral Health Care Manager guides members and/or families towards and facilitates interaction with resources… more
- Humana (Tallahassee, FL)
- …help us put health first** Humana's Marketing organization is seeking a Lead Product Manager who specializes in Next Best Action (NBA) Decision Engine to join the ... to deliver simple, personalized, and empathetic health experiences. As the Lead Product Manager for the Next Best Action (NBA) Decision Engine on the MarTech… more
- Prime Therapeutics (Tallahassee, FL)
- …fuels our passion and drives every decision we make. **Job Posting Title** Manager of Clinical Operations **Job Description** The Manager Operations is ... Qualifications** + Previous experience with RxClaim + Previous experience with Medicare or Medicaid Every employee must understand, comply with and attest… more
- Lundbeck (Miami, FL)
- Neuroscience Account Manager - Psychiatry - Miami, FL Requisition ID: 6766 Location: Miami, FL, US Do you want to join a team where the mission is meaningful, the ... lives. Join us on our journey of growth! As a Neuroscience Account Manager , you lead the promotion of our psychiatry portfolio to Psychiatrist and Institutional… more
- CenterWell (The Villages, FL)
- …Position Type: On-site Branch Location: The Villages, FL + The **Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers… more
- Monte Nido (Miami, FL)
- …the opportunity for people to realize their healthy selves. **Payor Credentialing Manager ** **Monte Nido** **Remote** For more than 25 years, **Monte Nido** has ... individualized treatment. Monte Nido is seeking a highly organized **Credentialing Manager ** with experience in **facility and provider payor credentialing** to join… more
- Humana (Tallahassee, FL)
- …and help us put health first** We are seeking a dynamic and results-driven Sales Manager to lead our Agnostic Call Center Sales Team within the IFG line of business. ... in a fast-paced, remote sales environment. The Agnostic Sales Manager leads and grows an internal sales team for...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- CVS Health (Coral Gables, FL)
- …clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care ... Chronic Kidney Disease (CKD), post-acute care, hospice, palliative care, cardiac) with Medicare members + 2+ years care management, discharge planning and/or home… more