- CVS Health (Tallahassee, FL)
- …oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare -Medicaid Plan) * Develop and lead clinical strategy and objectives for ... are evidence-based. * Work collaboratively with the Behavioral Health, Pharmacy , Member Outreach, Care Management, National Quality Management, Utilization… more
- CenterWell (Deland, FL)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- Prime Therapeutics (Tallahassee, FL)
- …consultants, key state leaders, industry trade associations, and Centers for Medicare and Medicaid Services (CMS); establish an effective communication and ... experience in sales, account management, and strategy development experience in PBM, pharmacy , health plan and/or managed care + 10 years of leadership/people… more
- BrightSpring Health Services (Gainesville, FL)
- …with Company policies and procedures, state licensure and regulations, Medicaid, and Medicare standards, as well as state reimbursement regulations + Leads case ... for adults regardless of disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training… more
- CenterWell (Daytona Beach, FL)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals *Personally ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- CenterWell (West Palm Beach, FL)
- …an impact** **Required Qualifications** + Managed Health Care experience focusing on our Medicare population + 3+ years' experience in a sales role, with a proven ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more