• Director - Client Services (Remote)

    Sedgwick (Miami, FL)
    …clients, customer satisfaction, revenue growth, client surveys, and new business; to provide managed care program management for jumbo clients requiring ... and inclusion. **PRIMARY PURPOSE** **:** To determine account management strategies related to managed care client service plans; to be responsible for retention… more
    Sedgwick (09/24/25)
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  • Mobile Department Lead

    MarketSource (Naples, FL)
    …MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed sales solutions for enterprise customers. MarketSource provides the unique ... skills and expertise to integrate brand-centric managed sales programs in the Automotive, Information Technology, Telecommunications, and Manufacturing industries in… more
    MarketSource (09/02/25)
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  • Center Administrator Assistant Bilingual English…

    CenterWell (Orlando, FL)
    …an organization focused on continuously improving consumer experiences + Medicare knowledge + Managed care experience + Value Based Care knowledge ... and is part of Humana/Senior Bridge's Tuberculosis (TB) screening program . If selected for this role, you will be...of an interdisciplinary team + Solid understanding of medical care delivery, managed care financial… more
    CenterWell (08/28/25)
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  • Government Operations Consultant III

    MyFlorida (Tallahassee, FL)
    …eligibility for participation in supplemental payment programs. Coordinate data transfers between Florida managed care plans and the Agency for Health Care ... to be the most cost-effective, transparent, and high-quality health care system in the nation. The Medicaid program... reconciliations. The incumbent will act as agency contract manager for assigned Medicaid contracts, which shall include, but… more
    MyFlorida (10/01/25)
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  • Learning Facilitation Professional - Certified…

    CenterWell (Orlando, FL)
    …for this role, you will be required to be screened for TB + Value Based Care / Managed Care experience including knowledge of HEDIS, CPT/ICD coding, and ... Certified or Registered Medical Assistant is the first point of contact for patient care . Responsible for administrative duties in addition to patient care . The… more
    CenterWell (08/29/25)
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  • Referral Coordinator

    CenterWell (The Villages, FL)
    …a hard-working and dedicated Referral Coordinator, to prepare and process all managed care referral paperwork, schedules and pre-registers patients for exams ... **This position is Onsite** + Prepares and processes all managed care referral paperwork. + Gathers pertinent...facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be… more
    CenterWell (09/22/25)
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  • Clinical Nurse Leader, RN

    Erickson Living (Naples, FL)
    …Living Join our team as the Clinical Nurse Leader in our new Continuing Care facility. The Clinical Nurse Leader will support the community Wellness Manager ... include coordinating and ensuring the onboarding of all new staff within Continuing Care (skilled nursing, assisted living, memory care , and long-term care… more
    Erickson Living (09/03/25)
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  • Pharmacist, Clinical/Medication Therapy Management…

    Molina Healthcare (Miami, FL)
    …years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination ... program (s) proficiency. **Preferred Qualifications** * Board Certified Ambulatory Care Pharmacist (BCACP). * American Pharmacist's Association Medication Therapy… more
    Molina Healthcare (09/24/25)
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  • Readmissions Registered Nurse

    AdventHealth (Port Charlotte, FL)
    …etc.). Maintains current information on community resources, third-party payors, and managed care environment. Knowledgeable of changing rules and regulations, ... and your family** **:** Benefits from Day One Student Loan Repayment Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support… more
    AdventHealth (08/16/25)
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  • RN Lead, Healthcare Services

    Molina Healthcare (FL)
    …least 4 years experience in health care , and at least 2 years of managed care experienced in utilization management * Registered Nurse (RN) ONLY if required ... leadership apprised of operational issues, staffing issues, system and program needs. * As a subject matter expert clinical...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care … more
    Molina Healthcare (09/26/25)
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