- Cardinal Health (Tallahassee, FL)
- …identifying and evaluating strategic opportunities for all lines of business including Medicare , Medicaid , and various commercial markets. The Managed Care ... Market Manager is responsible for maintaining the relationship between Cardinal Health PSAOs and the Cardinal Health network of retail independent pharmacies as well as the various sales teams. The role is devoted to educating both customers and sales on… more
- AdventHealth (Davenport, FL)
- …department, including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, ... Social Services, Readmission Prevention, Length of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager's roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team member evaluations and customer experience.… more
- Humana (Tallahassee, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …REQUIRED QUALIFICATIONS + Must have long-term care experience + Knowledge of Medicare / Medicaid . + Experience using Microsoft Office, specifically Outlook, Word, ... and Excel. + Possess technical proficiency by simultaneously working in multiple systems and software. + Experience in customer service and a high-volume environment. + Experience in negotiating payment arrangements. + Strong written, and verbal communication.… more
- Humana (Tallahassee, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Humana (Tallahassee, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Humana (Tallahassee, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- HCA Healthcare (Brandon, FL)
- …spiritual. + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid , and private payer regulations and processes. You will possess a ... thorough understanding of managed-care concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge… more
- Humana (Tallahassee, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Cardinal Health (Tallahassee, FL)
- …and evaluating strategic opportunities for all lines of business including Medicare , Medicaid , and various commercial markets. Key responsibilities include ... managing the appeal process, analyzing data to identify pricing issues, ensuring regulatory compliance, maintaining communication with stakeholders like pharmacies and PSAO leadership, and improving the MAC appeals process. This role is critical for ensuring… more