- Healthfirst (FL)
- …to ensure care plan goals and treatment is person-centered and maximizes member health outcomes. + Assists in identifying opportunities for alternative care options ... based on member needs and assessments. + Evaluates service authorizations to...line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and… more
- CVS Health (Largo, FL)
- …all with heart, each and every day. **Position Summary** The Benefits Analyst, Account Manager at CVS Health, you will play a critical role in supporting client ... **Primary Job Duties & Responsibilities** + **Research and Resolve:** Handle member inquiries and escalations related to benefits, claims, eligibility, and policy… more
- Molina Healthcare (FL)
- …plan, including a waiver service plan, in collaboration with the member , caregiver, physician and/or other appropriate healthcare professionals and member ... and Molina clinical guideposts to educate, support and motivate change during member contacts. + Assesses for barriers to care, provides care coordination and… more
- Molina Healthcare (FL)
- …plan, including a waiver service plan, in collaboration with the member , caregiver, physician and/or other appropriate healthcare professionals and member ... and Molina clinical guideposts to educate, support and motivate change during member contacts. + Assesses for barriers to care, provides care coordination and… more
- Elevance Health (FL)
- …the power of new technologies and a strong, clinical-first lens, to deliver member -centered, lasting pharmacy care. The **CarelonRx Account Manager II** is ... **CarelonRX Account Manager II** **Location:** **This field-based role enables associates...accommodation is granted as required by law. A proud member of the Elevance Health family of companies, CarelonRx… more
- Evolent (Tallahassee, FL)
- …, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the Risk Adjustment Coding Support ... collaboration, continuous learning, and a patient-centric approach, ensuring every team member contributes to providing better health outcomes for the population.… more
- Humana (Tallahassee, FL)
- …help us put health first** Humana's Marketing organization is seeking a Lead Product Manager who specializes in Next Best Action (NBA) Decision Engine to join the ... personalized, and empathetic health experiences. As the Lead Product Manager for the Next Best Action (NBA) Decision Engine...rules into key use cases and channels across the member lifecycle utilizing Adobe and custom-built platforms. You will… more
- EXOS (Tampa, FL)
- Job Summary: We are seeking an experienced and dynamic Membership Sales Manager to lead our Membership Sales team and play a key role in promoting and selling our ... + Report membership sales results as requested by General Manager and/or Regional Director + Develop strategy for corporate...new members + Continue to build AOP around annual Member Survey Results with a strong focus on … more
- TravelCenters of America (Seffner, FL)
- …across the country, to our corporate headquarters in Westlake, Ohio, every team member is a stakeholder in TA's success. This environment offers endless career ... guests the variety they look for. The Restaurant General Manager leads the operations and marketing functions of the...develop people to unleash the talent within each team member + High School Diploma (or GED) required. Associate's… more
- ISC2 (Tallahassee, FL)
- …ISC2 is a force for good. As the world's leading nonprofit member organization for cybersecurity professionals, our core values - Integrity, Advocacy, Commitment, ... empowers all of our successes. Learn more. **Position Summary** The Board Secretariat Manager will work directly with the Board Officers, Board Members and Board… more
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