- Mass Markets (FL)
- …+ Must be authorized to work in the country where the job is based. Subject to the program and location of the position + Must be willing to submit up to a LEVEL II ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Erickson Living (Palm Beach Gardens, FL)
- …schedules, and resident issues + Prepare and implement activity programs based on the Program Manager 's guidance + Lead and set up both group and individual ... a Program Assistant to enhance the well-being of Continuing Care residents through physical, intellectual, social, spiritual, and emotional activities. In this… more
- University of Miami (Miami, FL)
- …reports to the Director of the Division of CME and provides support for courses managed by the Division. The Senior Program Coordinator works closely with CME ... special reports as required to maintain up-to-date accreditation + Participate in meetings between program director and CME Manager on a regular basis to meet on… more
- Novo Nordisk (Holiday, FL)
- …in order to influence formulary status, as applicable + May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... About the Department The Cardiometabolic Care Sales Team is at the forefront of...the CMCS I reports to the Portfolio District Business Manager of the specific sales territory. The CMCS I… more
- MyFlorida (Tallahassee, FL)
- …Medicaid's managed care programs, with a focus on the Statewide Medicaid Managed Care (SMMC) program and Dual Eligible Special Needs (D-SNP) ... to be the most cost-effective, transparent, and high-quality health care system in the nation The Medicaid program...The bureau's primary responsibility is to ensure that the managed care plans meet contractual requirements, including… more
- MyFlorida (Tallahassee, FL)
- …waivers and home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review ... language for: the Medicaid/CHIP report guides, contracts, and amendments; Dear Managed Care Plan letters, contract interpretations, policy transmittals, and… more
- Sedgwick (Tallahassee, FL)
- …clients, customer satisfaction, revenue growth, client surveys, and new business; to provide managed care program management for jumbo clients requiring ... Services Director **PRIMARY PURPOSE** : To determine account management strategies related to managed care client service plans; to be responsible for retention… more
- Molina Healthcare (Tampa, FL)
- …lieu of education experience) + At least five (5) years' experience working in a Managed Care Organization or health insurance company + Minimum of two (2) ... **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead...procedures with emphasis on fraud investigations + Knowledge of Managed Care and the Medicaid and Medicare… more
- CenterWell (Lutz, FL)
- …+ Strong knowledge of HEDIS/Stars/CMS + Bachelor's Degree in Nursing + 3+ years of managed care experience + 3+ years of case management experience + Bilingual; ... + Bachelor's Degree in Nursing + 3+ years of managed care experience + 3+ years of...facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be… more
- CenterWell (Tallahassee, FL)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims. The Medical Director,… more
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