- Molina Healthcare (Miami, FL)
- …+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Elevance Health (Tampa, FL)
- ** Managed Care Pharmacy Resident** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, ... new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The ** Managed Care Pharmacy Resident** will be… more
- MyFlorida (Tallahassee, FL)
- …pertinent federal regulations, state statutes, administrative rules, Florida Medicaid State Plan, managed care waivers, and Medicaid program handbooks and ... as the Agency contract manager for the Program of All-Inclusive Care for the Elderly...Floridians." KNOWLEDGE, SKILLS, AND ABILITIES *Knowledge of the Medicaid Program and Managed Care . *Knowledge… more
- ChenMed (St. Petersburg, FL)
- …Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired + This position requires possession and ... great people to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse...discharge and conduct final discharge with patient. Discharge from program may require formal approval from Complex Care… more
- CenterWell (Tampa, FL)
- **Become a part of our caring community and help us put health first** The Manager Care /Case Management in **Tampa area (** **_this is not a remote position_** ... for building strong partnerships with clinical-operational market leaders on Care Integration Team foundational program and strategic...business health field + Previous experience working in a managed care field + 5 or more… more
- Option Care Health (Tampa, FL)
- …Option Care . Description of available services is accurate. Meets with managed care organizations and other accounts to facilitate education regarding ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...brightest talent in healthcare. **Job Description Summary:** The Pharmacy Manager is a licensed professional who is responsible for… more
- CenterWell (Tallahassee, FL)
- …Nurse with a Bachelor of Science in Nursing (BSN) to join our team as a Care Manager , Telephonic Nurse 2. In this pivotal role, you will play a crucial ... in Nursing (BSN) to join our team as a Care Manager , Telephonic Nurse 2. In this...Microsoft Office applications including Word, Excel, and Outlook + Managed care experience + Must be passionate… more
- CVS Health (Tallahassee, FL)
- …compassionate. And we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized ...of care management within Medicare and Medicaid managed care . + Familiarity with community resources… more
- Elevance Health (FL)
- …programs for autism and depression, and insightful analytics to improve the delivery of care . **Behavioral Health Care Manager II - ABA** Location: ... Friday, 8:00 am to 5:00 pm** The **Behavioral Health Care Manager II** is responsible for managing...experience with autism services and treatment required. + Prior managed care experience required. **Preferred Skills, Capabilities… more
- Collins Aerospace (Seminole, FL)
- …programs Collins Aerospace is seeking a talented and driven Principal Specialist Material Program Manager (MPM) to join our Mission Systems team in either ... US citizens are authorized to access information under this program /contract. Security Clearance: None/Not Required Raytheon Company, Managed...Program Office + Act as the Control Account Manager (CAM) or support the assigned CAM + Establish… more