- Molina Healthcare (Tampa, FL)
- …queries to extract, validate, and analyze healthcare data, including claims, authorization, pharmacy , and lab datasets. * Build and maintain efficient ETL pipelines ... collaborate cross-functionally to drive data-informed decisions in clinical and business operations . * Maintain fluency in healthcare data types (eg, ICD/CPT codes,… more
- Bristol Myers Squibb (Tampa, FL)
- …+ Determine proper organizational structure to deliver service and execute operations + Raise improvement opportunities to enhance operational efficiency through ... of the applicable plans then in effect and may include the following: Medical, pharmacy , dental and vision care. Wellbeing support such as the BMS Living Life Better… more
- AmeriHealth Caritas (Jacksonville, FL)
- …FOR CONSIDERATION** **Responsibilities:** Under the direct supervision of the operations supervisor, the customer service representative is responsible for ... integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.… more
- MyFlorida (Macclenny, FL)
- …physician orders. + Orders and receives prepackaged unit dose medications from the Pharmacy . + Reduces length of stay by providing for rehabilitation of residents ... through health education and training. + Determines education necessary for residents' independence and assigns level of staff to teach the resident. + Teaches resident self-assistance skills as needed. + Determines methods to be used to enhance independence.… more
- The Cigna Group (Lake Mary, FL)
- …and written communication and presentation skills + Knowledge of managed care operations . + Experience with business plan development. + Excellent organizational and ... Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and increase vitality. We… more
- MyFlorida (Sanford, FL)
- …and community. Assists Program Manager and/or designee with the coordination of pharmacy services for approved clients as well as with additional areas including ... pilot studies, surveys, focus groups, reports, etc. Maintains 100 % compliance with confidentiality protocols as well as security and integrity as determined by the Florida Department of Health HIV/AIDS Section Bureau of Communicable Diseases, as well as all… more
- Highmark Health (Tallahassee, FL)
- …requirements and CMS Stars rating measures including HEDIS, CAHPS, Pharmacy , HOS, PQA, PQRS. + Supportdevelopment of the overall conceptualization, ... time management skills + Demonstrates a deep understanding of primary care practice operations and workflow across the continuum of variability in primary care and… more
- Bristol Myers Squibb (Tampa, FL)
- …+ Drive and manage the end-to-end contracting process in support of operations across the enabling functions + Perform appropriate due diligence by issue ... of the applicable plans then in effect and may include the following: Medical, pharmacy , dental and vision care. Wellbeing support such as the BMS Living Life Better… more
- United Site Services (Mulberry, FL)
- …+ Holiday & Paid Time Off (pro-rated for Part-Time employees) + Medical/ Pharmacy + Dental + Vision + Employer-Paid Short-Term Disability + Employer-Paid Employee ... to equal opportunity employment applies to all persons involved in our operations and prohibits unlawful discrimination by any employee, including supervisors and… more
- The Cigna Group (Lake Mary, FL)
- …and written communication and presentation skills + Knowledge of managed care operations . + Experience with business plan development. + Excellent organizational and ... Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and increase vitality. We… more