• Program Director - Medicare Duals (Remote)

    Molina Healthcare (FL)
    …functional field of knowledge although they may have technical team members. Senior Program Management professional . Responsible for overall governance across ... gaps and barriers in implementation and compliance to AVP, VP and senior management + Consultative role, develops business case methodologies for programs, develops… more
    Molina Healthcare (08/22/25)
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  • Senior Manager, Behavioral Health Partner…

    CVS Health (Tallahassee, FL)
    …and every day. **Position Summary** The Sr Manager, Behavioral Health Partner Innovation Strategy will report to strategy & product within Aetna's Mental ... be responsible for coordinating across various functional partners to support the strategy and execution of new and existing strategic partnerships. This includes… more
    CVS Health (07/27/25)
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  • Senior Encounter Data Management…

    Humana (Tallahassee, FL)
    …between Humana and its trading partners, Medicare and Medicaid. The Senior Encounter Data Management Professional will work with department leadership, ... a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful… more
    Humana (08/15/25)
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  • Senior Encounter Data Management…

    Humana (Tallahassee, FL)
    …a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful ... considerable latitude in determining objectives and approaches to assignments. The Senior Encounter Data Management Professional ensures data integrity for… more
    Humana (08/15/25)
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  • Audit & Reimbursement Senior

    Elevance Health (Tampa, FL)
    …Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare...strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (08/08/25)
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  • Senior Vendor Management…

    Humana (Tallahassee, FL)
    …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional work assignments involve...invoices and contractual issues, resolves discrepancies, and develops departmental strategy . Key responsibilities include: + Create and manage aSSIST… more
    Humana (08/21/25)
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  • National Director, Care Integration…

    CenterWell (Tallahassee, FL)
    …offerings) programs designed to improve quality and reduce costs for high-risk senior populations in full-risk Medicare arrangements. The Director will lead ... Qualifications:** + Bachelor's degree + 7+ years progressively responsible professional experience in health-related strategy and operations positions,… more
    CenterWell (08/15/25)
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  • Complex Care Strategy Advancement Advisor

    CenterWell (Tallahassee, FL)
    …complex care initiatives to drive quality and cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will ... Qualifications** + Bachelor's degree + 5-7 years progressively responsible professional experience in health-related strategy and operations positions,… more
    CenterWell (07/19/25)
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  • Director, Strategy Advancement - Experience…

    Humana (Tallahassee, FL)
    …of our caring community and help us put health first** The Director, Strategy Advancement is a senior leader within CenterWell's Experience Transformation team, ... realization across the core portfolio. + Serve as a thought partner to senior leadership, connecting the dots between strategy , execution, and outcomes.… more
    Humana (08/20/25)
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  • Senior Inpatient Medical Coding Auditor…

    Humana (Tallahassee, FL)
    …a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis… more
    Humana (08/02/25)
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