- ChenMed (Hallandale Beach, FL)
- …a plus + Experience with supervising and/or supporting Pharmacy Technicians + Experience in a managed care setting (HMO, MSO, PBM) is a plus + Certified to ... + Performs other duties as assigned and modified at manager 's discretion. KNOWLEDGE, SKILL AND ABILITIES: + Knowledge of...a plus + Completion of Medication Therapy Management certificate program or Ambulatory Care Certificate a plus… more
- Molina Healthcare (Tampa, FL)
- …and ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer ... * Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC),… more
- Elevance Health (Tampa, FL)
- …to state regulatory agencies. Drives direction of the plan related to cost of care and other plan directives. + Ensures program compliance and identifies ... an impact:** + Oversees case and utilization management execution/decision making for managed member populations. + Is accountable to plan executive or executive… more
- Compass Group, North America (Jacksonville, FL)
- …regulatory compliance and drives 98% equipment uptime-so clinicians can focus on care , not equipment issues. We support nearly 4,500 healthcare sites nationwide-from ... large, campus-based acute care hospitals to system-integrated outpatient clinics. With more than...outpatient clinics. With more than 1.15 million medical devices managed , we provide the clarity and consistency needed in… more
- HCA Healthcare (Sunrise, FL)
- …team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Elevance Health (Tampa, FL)
- …Palliative Medicine, OB/GYN, Emergency Medicine) strongly preferred. + Experience in managed care experience strongly preferred. + 1-2 years utilization ... granted as required by law. The **Medical Director** will have program management responsibilities including clinical policy development, program … more
- HCA Healthcare (Miramar, FL)
- …preferred. (ie ambulatory surgery center, hospital, doctors office) preferred + Knowledge of managed care payers and medical terminology is preferred Consider a ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Compass Group, North America (Gainesville, FL)
- …operation of multiple Food & Nutrition Services in more than one Acute Care Hospital in a given geography. **Key Responsibilities:** + Ensures client, customer ... at all sites + Manages all foodservice-related activities, including patient care , non-patient care (retail, cafeteria, catering etc), quality improvement,… more
- Molina Healthcare (Tampa, FL)
- …must be active and unrestricted in state of practice. * Call center experience. * Managed care experience. To all current Molina employees: If you are interested ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- Elevance Health (Tampa, FL)
- …strongly preferred. + Previous experience working for a health plan or managed care organization preferred. + Previous Medicare experience preferred. + ... advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff...+ Provides guidance for clinical operational aspects of a program . + Perform utilization management reviews to determine medical… more