- Molina Healthcare (St. Petersburg, FL)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) Department works with members, providers, and multidisciplinary team members to assess, ... Monday - Friday 8:00 AM to 5:00 PM EST Remote position with 25% field travel MA RN license...clinical HCS staff. Communicates findings to the Supervisor or Manager , HCS Department for resolution. + Maintains a minimal… more
- GovCIO (Tallahassee, FL)
- …in governance and compliance principles and best practices + Experience in Healthcare IT systems or solutions + Excellent planning and product oversight skills + ... **Overview** GovCIO is looking for a Project Manager to join our Health PMO team. The...organizational strategy and objectives. This is a fully US-based remote position with core hours of operation from Monday… more
- University of Miami (Miami, FL)
- …Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote . The incumbent conducts initial, concurrent ... for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for...best outcome to meet ongoing patient needs that encourages compliance with medical advice. CORE FUNCTIONS: + Adhere and… more
- Carrington (Jacksonville, FL)
- **Come join our amazing team and work remote from home! Please note that this position will require to travel from time to time.** The Learning & Development ... Manager will be part of the Learning & Leader...hire training, new hire orientation. Perform all duties in compliance with all company policies and procedures and state… more
- Datavant (Tallahassee, FL)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring...program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the… more
- VetsEZ (FL)
- VetsEZ is seeking a results-driven Project Manager to lead Agile software development teams supporting DevSecOps initiatives for the Department of Veterans Affairs. ... and ensuring project objectives are aligned with VA's mission and compliance standards. The candidate must reside within the continental US. Responsibilities:… more
- CVS Health (Tallahassee, FL)
- …+ Ensure digital products adhere to HIPAA, CMS, NCQA, and other relevant healthcare insurance regulations. + Partner with compliance and security teams to ... product vision, roadmap, and strategy aligned with business objectives, compliance requirements, and customer needs. + Serve as the...3-5 years of experience as a Product Owner, Product Manager , or similar role in healthcare insurance… more
- Molina Healthcare (St. Petersburg, FL)
- …our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role ... + Review Medicaid COB claims for correct secondary pricing logic and compliance with configuration and regulatory rules. + Analyze claim outcomes and identify… more
- Molina Healthcare (Jacksonville, FL)
- Molina Healthcare is in search of an experienced Sr Digital Marketing Specialist. The Sr. Specialist, Digital Marketing will be responsible for analyzing and ... **Highly Qualified Candidates Will Have the Following Experience-** Digital Tag Manager Programs Salesforce Marketing Cloud Google or Adobe analytics (or similar)… more
- Prime Therapeutics (Tallahassee, FL)
- …every decision we make. **Job Posting Title** Sr. Functional Bus Consultant ( Compliance ) - Remote **Job Description** The Senior Functional Business Consultant ... The Functional Business Consultant serves as a project manager **,** business system or business process subject matter expert with a high level of understanding of… more