• Managed Care Payer…

    AdventHealth (Maitland, FL)
    …government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application ... Ensures thorough research and validation of non-contracted and government payer information * including regulatory and interim rate updates...and interim updates which may impact payers and products managed by other Managed Care … more
    AdventHealth (09/23/25)
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  • National Director Market Access and Payer…

    BD (Becton, Dickinson and Company) (Stuart, FL)
    …LMS, and is responsible for the establishment, development and execution of the payor, managed care , and payer contracting medical policy initiatives in ... National Director of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager ...+ Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best… more
    BD (Becton, Dickinson and Company) (08/02/25)
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  • Managed Care Contract Manager

    AdventHealth (Maitland, FL)
    …School Grad or Equiv Required + 4 of experience in managed care , patient financial services or healthcare payer relations background Required . Certification ... and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and...Care Directors and Ancillaries. * Accountable for ensuring Payer updates (policy, system edits, operational changes, etc.) are… more
    AdventHealth (09/12/25)
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  • Manager of Physician Contract…

    AdventHealth (Maitland, FL)
    …Required + 5 payer /provider contract negotiations and responsibility of overseeing a managed care department or team + Experience with leading a managed ... leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the implementation… more
    AdventHealth (08/26/25)
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  • Medical Economics Manager

    AdventHealth (Maitland, FL)
    …the analysis and evaluation of financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on ... skills. The Medical Economics Manager will manage and mentor managed care staff for both the Florida and Multi-State Divisions of AdventHealth, as… more
    AdventHealth (08/19/25)
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  • Care Manager RN

    Centene Corporation (Tallahassee, FL)
    …on workplace flexibility. **MUST RESIDE IN THE STATE OF FLORIDA!** **Now Hiring: Remote Care Manager RNs - Join Centene's Ambetter Marketplace Team!** Centene is ... currently hiring a Remote Care Manager RN to support our Ambetter...Nurses with experience in case management, home health, or managed care + Clinical background in acute… more
    Centene Corporation (10/03/25)
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  • Field Reimbursement Manager

    Amgen (Orlando, FL)
    …in public or private third-party access arena or pharmaceutical industry in managed care , clinical support, and/or sales + Strong medical reimbursement ... us and transform the lives of patients while transforming your career. **Field Reimbursement Manager - Orlando, FL** **What you will do** Let's do this. Let's change… more
    Amgen (10/02/25)
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  • Field Reimbursement Senior Manager - South…

    Amgen (Jacksonville, FL)
    …in launching new specialty pharmaceutical/biologics products or indications + Knowledge of Managed Care , Government, Federal payer sectors, and Integrated ... lives of patients while transforming your career. **Field Reimbursement Manager , Senior Manager - South East** **What...private third-party access arena or pharmaceutical industry in sales, managed care , or clinical support OR Master's… more
    Amgen (10/05/25)
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  • Manager , Medical Director - Transformation…

    Elevance Health (FL)
    …**Preferred Qualifications:** + 5+ years of clinical practice experience, with transition into payer , managed care , or healthcare leadership preferred. + ... ** Manager , Medical Director - Transformation Initiatives** Location: This...+ **Real-time Decisioning & Analytics (RDA)** + **Cost of Care / Payment Integrity** + ** Care Management… more
    Elevance Health (10/04/25)
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  • Revenue Cycle Manager

    Devereux Advanced Behavioral Health (Orlando, FL)
    …Prior supervisory or management experience _preferred_ + Knowledge of Florida Medicaid, Florida Managed Care Plans, and third-party payer systems + ... reach their potential? Join Devereux as a Revenue Cycle Manager !_ We are seeking a dynamic, positive Revenue Cycle...+ Ensure accurate billing and claims submission for Medicaid, Managed Care , and other third-party payors +… more
    Devereux Advanced Behavioral Health (09/30/25)
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