- CenterWell (Tallahassee, FL)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... - Telephony leverages their expertise in product management and primary care operations to deliver impactful digital solutions. This role encompasses all phases of… more
- MyFlorida (Tallahassee, FL)
- …under the HIV/AIDS Sectoion. The incumbent functions under the supervision of the Operations Manager C-SES. This position oversees the coordination. of insurance ... other offices in the HIV/AlDS section and county health departments, to ensure operations , planning and program goals are coordinated and do not conflict with or… more
- CenterWell (Tallahassee, FL)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... years progressively responsible professional experience in health-related strategy and operations positions, preferably in value-based care, particularly managed care… more
- Family Dollar (North Miami, FL)
- …The Market Investigator is responsible for confirming that the market's stores operations and daily functions comply with Company programs and policies. Monitor and ... position will report directly to the Director, Loss Prevention or Regional Manager , Loss Prevention and will interface frequently with Field Managers and Corporate… more
- MyFlorida (Sanford, FL)
- …Provides education to clients, partners, team members and community. Assists Program Manager and/or designee with the coordination of pharmacy services for ... data, preparing reports, and providing day-to-day operational assistance to the Program Manager , and other staff as needed. Apply advanced nursing principles and… more
- Prime Therapeutics (Tallahassee, FL)
- …leadership/people management experience in a technology function or similar area for a Pharmacy Benefit Manager (PBM), health plan, or managed care organization ... + Provide dynamic leadership and proactive direction to the operations organization, including technology, and internal stakeholders including clear expectations,… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …Reply Report (DTRR) + CMS Daily and Monthly Reconciliation queues + Daily and Monthly Pharmacy Benefit Manager (PBM) + Monthly MMR, PWR, LIS History and LEP ... Associates Degree or higher preferred + Minimum 2 years Health Plan Operations experience including; Enrollment (preferred), Claims processing or Customer Service. +… more
- The Cigna Group (Lake Mary, FL)
- …members. **Position Summary:** The Senior Financial Analyst works closely with the Manager - Strategic Pricing and Contracting, to provide business support to Matrix ... performance metrics. Responsible for supporting group development and addressing operations statistical, business and financial information requests including budget,… more
- MyFlorida (Tallahassee, FL)
- …Unit. * In collaboration with the team and the Program Integrity Unit Manager , draft investigative work plans and develop case strategies based upon analysis. * ... agencies. * Proactively identify new and emerging medical & pharmacy fraud schemes through research and use of the...criminal actions. * Build queries in support of PIU operations and the maintenance of data integrity for PIU… more
- Wellpath (Arcadia, FL)
- …as needed. + **Operational Oversight and Healthcare Delivery** Monitor healthcare operations , ensure compliance with pharmacy laws and safety requirements, ... delivery. **Key Responsibilities** + **Leadership and Supervision of Healthcare Operations ** Provide leadership and administrative oversight for medical, psychiatry,… more