- Molina Healthcare (St. Petersburg, FL)
- …and Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with ... Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… more
- CVS Health (Tallahassee, FL)
- …improvement, ensuring norms, and best practices are benchmarked. + Ensuring multi-state Medicare / Medicaid alignment with key leadership and state agencies to ... in new and exciting ways every day. Aetna is recruiting for a VP, Medicare Territory Leader who will have overall accountability for the territory P&L and general… more
- Molina Healthcare (Tampa, FL)
- …annually or as directed by the Center for Medicare and Medicaid . + Responsible for development , implementation, and maintenance of department strategic ... benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and...updates annually or as directed by the Centers for Medicare and Medicaid Services. + Establishes non-contracted… more
- Centene Corporation (Tallahassee, FL)
- …managed care experience preferred. Dental Vendor Management or Dental Product Development experience highly desired. **License/Certification:** Project ... program updates and facilitate cross functional executive level discussion. + End-to-end development , filing and execution of the Medicare Supplemental dental,… more
- Humana (Tallahassee, FL)
- …value of product created by an Agile team. Liaises with stakeholders and the development team ensuring the right product is being built, in the right order, ... community and help us put health first** The Senior Product Owner is responsible for conveying product ... Owner role. + Experience in Health insurance industry ( Medicaid , Medicare , Specialty etc.). + Experience in… more
- Datavant (Tallahassee, FL)
- …outcomes, measure product impact, and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate combines ... working closely with Engineering, Data, and Clinical stakeholders. + Lead product development cycles from ideation to release, ensuring delivery of high-impact… more
- Humana (Tallahassee, FL)
- …such as: user research and concept testing, opportunity sizing and business case development , product blueprints, training development and ability to de-risk ... to: user research and concept testing, opportunity sizing and/or business case development , product blueprints, data and/or technology requirements, and ability… more
- Humana (Tallahassee, FL)
- …across the Medicaid segment to meet compliance requirements and optimize Medicaid product data analytics capabilities + Approach problems with curiosity, ... opportunities and works across the Company to set actionable product strategy and accelerate development of novel...analysis + 3+ years of health care experience for Medicare and/or Medicaid populations + Proven experience… more
- Prime Therapeutics (Tallahassee, FL)
- …and lines of business (Employer Markets, Health Insurance Marketplace (HIM), Commercial, Medicare , and Medicaid ). This individual is the primary relationship and ... + Lead retention efforts for Employer Markets, Health Insurance Marketplace, Commercial, Medicare , and Medicaid health plan clients; drive the adoption and… more
- CenterWell (Tallahassee, FL)
- …the CenterWell ACO and Medicare payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and future models. ... in-depth understanding of the healthcare industry, including value-based care, Medicare , population health, Accountable Care Organizations (ACOs), medical group… more