• Senior Product Owner

    CenterWell (Tallahassee, FL)
    …to lead the delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations . This enterprise-wide platform ... field. **Preferred Qualifications:** + Understanding of pharmacy operations and Medicare Part D . + Experience with contact center platforms and CRM… more
    CenterWell (08/23/25)
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  • Senior Analyst, Operational Regulatory Oversight-…

    Molina Healthcare (Jacksonville, FL)
    …The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, and recommend business practices to ensure ... Analyst develops and performs audits and oversight functions involving business-critical operations and vendor outsourcing arrangements for the company. The Sr.… more
    Molina Healthcare (08/22/25)
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  • Representative II - Operations

    CVS Health (Tallahassee, FL)
    …day. **Position Summary** As a Rep II, Operations , you will be directly supporting Medicare Part D members and providers with requests related to their ... healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare … more
    CVS Health (08/22/25)
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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 (08/23/25)
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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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  • 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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