- AdventHealth (Maitland, FL)
- …analysis and evaluation of financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on financial ... able to complete extensive and complex financial, operational, and analysis of managed care contracts, proposals, analyze fee schedules, and determine contract… more
- CenterWell (Tampa, FL)
- …degree in nursing or business health field + Previous experience working in a managed care field + 5 or more years of previous management/supervisor level ... and long-term disability, life insurance and many other opportunities. **About Us** About Conviva Senior Primary Care : Conviva Senior Primary Care … more
- HCA Healthcare (Gainesville, FL)
- …contracting issues. + Provides medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials ... regarding delegated utilization management and disease management operations under managed care contracts. Meets all regulatory/contractual/accreditation requirements… more
- CenterWell (Sarasota, FL)
- …experiences that put patients at the center. As the nation's largest provider of senior -focused primary care , one of the largest providers of home health ... put health first** The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. + Develops, plans, implements,… more
- HCA Healthcare (Ocala, FL)
- …and Qualifications** Seeking a Contract Analyst, who is responsible for translating managed care terms and model relevant parameters in Concuity/Clear Contracts ... **What you will do in this role:** + Model managed care contracts through the Concuity Calc...Performance of ad hoc analyses as assigned by departmental Director , Manager and Team Leads + Performs Peer to… more
- RTX Corporation (Largo, FL)
- …Immigration Status Requirements:** **Security Clearance:** Secret - Current Raytheon Program Managed by Collins Aerospace At Collins Aerospace, by combining our vast ... and apply company policies, ensure risk mitigation activities are successfully managed and establish and execute long-term strategic goals. This role requires… more
- Humana (Tallahassee, FL)
- …MPH, or other relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects ... and other health plans to millions. By integrating insurance with care delivery through CenterWell, Humana is improving healthcare access, coordination, and… more
- AdventHealth (Altamonte Springs, FL)
- …evidence based model approach. + Provides counsel and physician perspective at senior leadership discussions and action plans related to business growth, service ... medical staff providing guidance in case management, appropriate levels of care for patients, efficient utilization of resources(including appropriate length of… more
- Prime Therapeutics (Tallahassee, FL)
- …or compliance role, with a minimum of 5 years of experience as an attorney representing managed care companies or other health care clients + Must be ... Sr. Legal Counsel - Business Litigation - Remote **Job Description** The Senior Legal Counsel provides tactical and strategic legal advice to internal clients,… more
- University of Miami (Miami, FL)
- …measures the effectiveness of assigned programs. + Ensures that operations are managed within authorized budgets. Collects, manages, and reports program data. + ... healthcare professionals, including paramedics, nurses, physicians and allied health care professionals. The Manager of Programs will manage and incorporate… more