• Mgr Medicare Part D Pharmacy…

    Prime Therapeutics (Tallahassee, FL)
    …department. Works to ensure established rules, policies, and procedures are implemented so that Medicare Part D operations are successful, efficient, ... drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs...Provides the technical and leadership skills that ensure successful Part D pharmacy operations and… more
    Prime Therapeutics (07/24/25)
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  • Risk Adjustment Audit Operations Analyst…

    Molina Healthcare (St. Petersburg, FL)
    …data elements. + Collaborate with internal teams-including IT, Risk Adjustment operations , and clinical teams-to ensure accurate and consistent data interpretation. ... + Participate in internal simulations and mock audits as part of proactive audit readiness. + Contribute to the...of experience in data analytics, business intelligence, or healthcare operations + Foundational proficiency in SQL and exposure to… more
    Molina Healthcare (08/08/25)
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  • Director, Government Pricing/Managed Care Rebate…

    Bristol Myers Squibb (Tampa, FL)
    …leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and ... the team to operationalize the BMS 340B strategy for Managed Care Rebate Operations and understand broader 340B landscape + Lead team and work collaboratively with… more
    Bristol Myers Squibb (08/13/25)
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  • MBA Intern - Illinois Medicaid ( Part

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us...as we prepare for the launch of Fully Integrated D -SNP (FIDE) plan in 2026. This individual will focus ... put health first** The MBA Intern - Illinois Medicaid ( Part -time, Fall 2025) will contribute as a team member...on driving scalable, innovative initiatives with local market operations , clinical, and finance leaders that improve members health… more
    Humana (08/02/25)
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  • Accounting Manager, Revenue and Reporting

    WelbeHealth (Tallahassee, FL)
    …of capitation payment model, including ability to track and analyze revenue streams (eg Medicare , Medicaid, Part D ) along with PACE rates and regulatory ... all aspects of our revenue recognition model under ASC 606, revenue operations , control environment, and all required state and federal reporting requirements.… more
    WelbeHealth (08/01/25)
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  • Senior Business Systems Analysis Professional…

    Humana (Tallahassee, FL)
    …to determine other liable parties due to Medicare set aside settlement arrangements for both Part C and Part D + Oversee development of a repository of ... + Assume lead role in working with the Enterprise Operations Enablement (EOE) team our Insurance AI Lean Business...of a process to make use of COB MSP Part C& D data provided by CMS to… more
    Humana (08/13/25)
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  • Director of Service Delivery

    Prime Therapeutics (Tallahassee, FL)
    …variety of constituents **Preferred Qualifications** + Integrated health system or health plan experience + Medicare Part D and B experience + Call center or ... responsible for the strategic leadership and operational direction of Member Operations solutions related to interaction with Prime Therapeutics clients to… more
    Prime Therapeutics (06/24/25)
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