• Assistant Nurse Manager - Case Management

    Cleveland Clinic (Stuart, FL)
    …patients stay on track with their health goals. As an Assistant Nurse Manager in Care Management, you will assist with day-to-day operations, utilize clinical ... expertise and understanding of care management and Medicare regulations, contribute to the goals of cost containment...Registered Nurse (RN). * Professional certification as a Case Manager (CCM) * 3 years or more of acute… more
    Cleveland Clinic (07/10/25)
    - Related Jobs
  • Patient Care Manager / Registered Nurse,…

    AccentCare, Inc. (Ormond Beach, FL)
    Overview Find Your Passion and Purpose as a Home Health Patient Care Manager Salary: $85,000-$95,000 Shift: Full Time in Office #AC-BO Reimagine Your Career in Home ... first AccentCare-branded scrubs for patient-facing employees Qualifications Be the Best Patient Care Manager You Can Be If you meet these qualifications, we want to… more
    AccentCare, Inc. (07/01/25)
    - Related Jobs
  • Compliance Audit Manager

    Cardinal Health (Tallahassee, FL)
    …the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **_What is expected ... hospital facility fee coding and auditing. + Expert-level knowledge of Medicare and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC… more
    Cardinal Health (08/27/25)
    - Related Jobs
  • Lead Medicaid Actuary ( Manager )

    Humana (Tallahassee, FL)
    …needs for Medicaid-specific product lines. The Lead Actuary will serve as a project manager in addition to working on problems of diverse scope and complexity. They ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​… more
    Humana (08/27/25)
    - Related Jobs
  • Senior Manager , Behavioral Health Partner…

    CVS Health (Tallahassee, FL)
    …do it all with heart, each and every day. **Position Summary** The Sr Manager , Behavioral Health Partner Innovation Strategy will report to strategy & product within ... years Industry experience in mental or behavioral health, payer, commercial, and Medicare + Proven ability to interact with, influence and collaborate with business… more
    CVS Health (07/27/25)
    - Related Jobs
  • Child Case Manager

    WestCare Foundation (Key West, FL)
    Child Case Manager Job Details Job Location Key West - 1205 4th - Key West, FL Position Type Full Time Education Level 4 Year Degree Salary Range $21.22 - $21.22 ... sources; + Ability to maintain an active and up-to-date knowledge of Medicaid/ Medicare and Social Security disability application procedures. + Ability to organize,… more
    WestCare Foundation (07/24/25)
    - Related Jobs
  • Senior Manager , Network Management,…

    CVS Health (Tallahassee, FL)
    …Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews and ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more
    CVS Health (07/19/25)
    - Related Jobs
  • Sr Mgr,Digital Product

    CVS Health (Tallahassee, FL)
    …population health platform to support the delivery of high quality care to the Medicare population. As a Senior Product Manager within the Patient Experience and ... costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive...the efforts of your scrum team as the Product Manager . You will keep abreast of Agile / Scrum… more
    CVS Health (08/22/25)
    - Related Jobs
  • Audit & Reimbursement Senior

    Elevance Health (Tampa, FL)
    …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... federal health programs. The **Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for … more
    Elevance Health (08/26/25)
    - Related Jobs
  • Senior Manager , National Specialty Value…

    CVS Health (Tallahassee, FL)
    …with provider engagement, relations, or account management. + Working knowledge of Medicare contracts. + An understanding of value based contracts, how they work, ... what is the value. + Strong presentation skills, the ability to communicate effectively. + Mastery of problem solving and decision making skills + Strong MS Office skills. Preferred Qualifications: + The ability to use data to tell a story. + Mastery of growth… more
    CVS Health (08/30/25)
    - Related Jobs