- Molina Healthcare (Jacksonville, FL)
- …sample universes, and submission of SOPs, training materials, and/or other evidence as part of regulatory audits. EX: DMHC, CMS active audits. Responsible for acting ... any identified finding; Supports management with presenting results and recommendations to Senior Leadership and department staff. * Recommends new or updated job… more
- CenterWell (Tallahassee, FL)
- …the delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform empowers ... field. **Preferred Qualifications:** + Understanding of pharmacy operations and Medicare Part D . + Experience...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- CenterWell (Tampa, FL)
- …exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based ... **Become a part of our caring community and help us...one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating multiple… more
- CenterWell (Fort Lauderdale, FL)
- …exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based ... **Become a part of our caring community and help us...care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists,… more
- CenterWell (Delray Beach, FL)
- …exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based ... **Become a part of our caring community and help us...care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists,… more
- CenterWell (Apopka, FL)
- **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... senior -focused primary care providers in the country, operating multiple...care team consists of doctors, advanced practice professionals, pharm D , care coach nurses, medical assistants, behavioral health, specialists,… more
- CenterWell (Deerfield Beach, FL)
- **Become a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more
- Humana (Tallahassee, FL)
- …or other pharmacy related field + Experience in Formulary strategy/development and CMS Part D guidance + Experience in analysis and problem-solving + Excellent ... **Become a part of our caring community and help us...methods to develop and influence formulary strategies for Humana's Medicare line of business. + Utilizes broad understanding of… more
- 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 ... objectives. This role is responsible for partnering across Member Operations senior leadership, Client Engagement, and the Business Integration Teams to influence… more
- Molina Healthcare (St. Petersburg, FL)
- …Help translate CMS audit requirements into data tasks under the guidance of senior analysts. + Document data sourcing steps, methodologies, and business rules to ... + Participate in internal simulations and mock audits as part of proactive audit readiness. + Contribute to the...Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS… more