• Senior Product Owner

    CenterWell (Tallahassee, FL)
    …Owner to lead the delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform ... a related 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 Software Development Engineer

    CVS Health (Tallahassee, FL)
    …will be responsible for designing, developing, testing and deploying full-stack solutions in support of Aetna's Medicare business. You will work closely with ... Ready to take your Application Development skills to the next level? Aetna Medicare Product Tools & Technology is seeking a Senior Software Development Engineer to… more
    CVS Health (08/30/25)
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  • Lead Director Network Platform Solutions

    CVS Health (Tallahassee, FL)
    …Network; Examples include ensuring data standards are synchronized across Medicaid and Medicare platforms, ensuring duals workflows are support across systems, ... experience in strategy and delivery leadership roles + 5+ years of Medicare /Medicaid and/or Duals experience + Proven success navigating large scale cross functional… more
    CVS Health (08/24/25)
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  • Director Reimbursement

    AdventHealth (Altamonte Springs, FL)
    …Career Development + Whole Person Wellbeing Resources + Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of ... activities. These activities include preparation and filing the annual Medicare , Medicaid, and Champus/Tricare cost reports; preparation of reopening and… more
    AdventHealth (08/13/25)
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  • AVP, Duals Market Enablement (Remote)

    Molina Healthcare (Tampa, FL)
    **Job Description** **Job Summary** Provides leadership to the Medicare Duals team and plays a critical role in advancing the Medicare Integrated Duals segment ... strategic priorities. Develops and executes Medicare strategies, including state-specific and product-specific growth initiatives. Leads high-priority projects… more
    Molina Healthcare (08/22/25)
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  • Telephonic Call Center Specialist

    Humana (Miami, FL)
    …based on business needs and hours could include weekends/holidays. + During the Medicare Annual Election Period, September to December, must be able to work Monday ... services and a call center environment specifically but not limited to Medicare & Medicaid recipients + Previous experience with electronic case note documentation… more
    Humana (09/04/25)
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  • Home Health Director

    BAYADA Home Health Care (Jacksonville, FL)
    …experienced and compassionate **Director** to manage operations at our **Jacksonville, FL Medicare -certified Home Health office** . The ideal candidate will have a ... strong background in healthcare administration, regulatory compliance ( Medicare Conditions of Participation), clinical coordination, and business operations. This… more
    BAYADA Home Health Care (08/09/25)
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  • Delaware Valley ACO Fellowship

    Humana (Tallahassee, FL)
    …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...Health System. Humana takes the lead in providing administrative support in various areas including HR. DVACO's MSSP participation… more
    Humana (07/30/25)
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  • Non-Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Orlando, FL)
    …time OASIS Review and Coding Manager. The OASIS and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring ... to policies and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role...plan of care and accurate OASIS documentation. + Provide support and communication to all disciplines within the service.… more
    BAYADA Home Health Care (08/15/25)
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  • Senior Manager, MarketPoint Sales

    Humana (Ocala, FL)
    …first** Our Senior Manager, MarketPoint Sales motivates and drives a team of Medicare Sales Field Agents who sell individual health plan products and educate ... Vision, Prescription plans, and more. The Senior Manager, MarketPoint Sales will supervise Medicare Sales Field Agents dedicated to the growth of The Villages Health… more
    Humana (07/30/25)
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