• Physician Contract Administration Hybrid

    AdventHealth (Maitland, FL)
    …necessary research to obtain and maintain non-contracted payer reimbursement including Medicare , Medicaid, Tricare and other gov't payers. * Responsible for ensuring ... * Performs special projects and tasks as requested by senior staff and leadership. * Supports the contracting team,...current on regulatory updates and rate changes that affect Medicare , Medicaid and TriCare reimbursement for contract loading and… more
    AdventHealth (08/15/25)
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  • Field Medical Director, Cardiology

    Evolent (Tallahassee, FL)
    …on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... for utilization management while working in conjunction with the Senior Medical Director. **Qualifications - Required and Preferred:** +...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (08/15/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Tallahassee, FL)
    …on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... for utilization management while working in conjunction with the Senior Medical Director. **Qualifications** + MD/DO/MBBS Degree + Current,...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (07/30/25)
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  • Referral Coordinator

    CenterWell (The Villages, FL)
    …Performs computations. Typically works on semi-routine assignments. **Location** : CenterWell Senior Primary Care office address: **1400 US HWY 441 North # ... of hands-on healthcare experience in a clinical setting, preferably within the Medicare population + Proficient with medical terminology + Proficient with Microsoft… more
    CenterWell (08/15/25)
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  • Practice Manager, Center Administrator

    CenterWell (Casselberry, FL)
    …and determines approach, resources, schedules and goals. **Location** **: CenterWell Senior Primary Care office address:** **946 Semoran Boulevard, Casselberry, FL ... experience + This role is considered patient facing and is part of Humana/ Senior Bridge's Tuberculosis (TB) screening program. If selected for this role, you will… more
    CenterWell (08/02/25)
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  • Field Sales Professional

    CenterWell (West Palm Beach, FL)
    …organizations that serve seniors, including faith-based organizations, community centers, and senior housing facilities. + Hosting health and well-being and social ... Qualifications** + Managed Health Care experience focusing on our Medicare population + 3+ years' experience in a sales...insurance and many other opportunities. **About Us** About Conviva Senior Primary Care: Conviva Senior Primary Care… more
    CenterWell (05/28/25)
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  • Field Medical Director, Oncology

    Evolent (Tallahassee, FL)
    …is recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of disciplinary or legal action… more
    Evolent (08/19/25)
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  • Formulary Strategy Pharmacist Lead

    Humana (Tallahassee, FL)
    …data driven methods to develop and influence formulary strategies for Humana's Medicare line of business. + Utilizes broad understanding of pharmacy, managed care, ... oral and written communication skills, previous experience presenting and interacting with senior leadership + Flexible, dynamic personality who works well in a team… more
    Humana (08/15/25)
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  • National Director Market Access and Payer Strategy

    BD (Becton, Dickinson and Company) (Stuart, FL)
    …policy initiatives in collaboration with BD's market access and payment policy senior leadership team reimbursement strategy to ensure optimal coverage and maximize ... reimbursement from Commercial, Medicaid and Medicare plans. The individual will also have direct supervision...of the commercial reimbursement strategy including Medicaid and Managed Medicare plans. ​ + Responsible and accountable for optimizing… more
    BD (Becton, Dickinson and Company) (08/02/25)
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  • Field Medical Director , Radiology (Urology)

    Evolent (Tallahassee, FL)
    …is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
    Evolent (08/02/25)
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