- CenterWell (Altamonte Springs, FL)
- …food insecurity, navigation of and application for benefits including, Medicaid , HCBS, working to reduce costs associated with prescription medications, ... + Prior value-based care experience and working with complex Senior populations + Experience working effectively within interdisciplinary teams… more
- Humana (Tallahassee, FL)
- …years' experience with stakeholder management (strategy/operations at a top-tier consulting/ professional services firm). They will have a demonstrated ability to ... concise outputs (PPT, Excel). This person must be comfortable working collaboratively with senior leaders and subject matter experts alike and should have a high… more
- Baylor Scott & White Health (Tallahassee, FL)
- …and senior medical staff including denials from all payers, Medicare/ Medicaid audit activities and key contract enforcement activities. + Collaborates with ... Appeal Specialists, Payer Liaisons and Collectors focused on appealing hospital and professional clinical and coding denials, as well as Recovery Audit Contractors… more
- USAA (Tampa, FL)
- …appropriate: In conjunction and coordination with Securities Counsel and Securities Compliance , provides research and documentation support for use in responding to ... employees and members. + Partners with Legal, Risk and Compliance on interpretation of CMS (Center for Medicare and... on interpretation of CMS (Center for Medicare and Medicaid Services) rules to provide guidance and clarification to… more
- CVS Health (Tallahassee, FL)
- …evaluation, and oversight of vendor relationships to ensure optimal performance, compliance , and alignment with organizational goals. This role collaborates with ... ensuring alignment with organizational objectives.** **Monitor vendor performance, ensuring compliance with contractual obligations, service level agreements, and regulatory… more
- CenterWell (Tallahassee, FL)
- …check for drug-drug interactions and utilize resources/guidelines to assist in professional decision making. **Use your skills to make an impact** **Required ... + Proven problem-solving skills and strong ability to utilize resources for professional decision-making + Work ethic that is focused, accurate and highly productive… more
- AdventHealth (Maitland, FL)
- …contribute:** The Care Manager System Educator Lead (CMEL) is a care management professional who supports the Director of System Care Management and/or Senior ... manages resources to achieve quality performance, positive employee relations and compliance with hospital guidelines. The CMEL trains, mentors and facilitates… more
- Humana (Tallahassee, FL)
- …put health first** At Humana, a Lead Enterprise Architect is a seasoned IT professional who is a good listener, strategic thinker and collaborator who is effective ... objectives to technology strategy and assets. Collaborate with architects and senior leaders to define and communicate the enterprise architecture vision, prioritize… more
- CenterWell (Orlando, FL)
- …with all Drug Enforcement Administration (DEA), Centers for Medicare & Medicaid Services (CMS), federal, state, and company regulations, policies, and procedures. ... at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity… more
- University of Miami (Miami, FL)
- …Operations Representative 2 assists patients in a courteous, efficient and professional manner and ensures adherence to divisional and departmental service ... including room reservations, catering, and greeting visitors. + Provide coverage for Senior Administrative Assistants as needed. + Track, process, and submit faculty… more