- Molina Healthcare (St. Petersburg, FL)
- …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... the Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… 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
- Elevance Health (Tampa, FL)
- …but are not limited to: + Provides analytical insights to support business solution development for Medicare and ACA risk adjustment initiatives. + Analyzes and ... ** Medicare Risk Adjustment Advanced Analytics Consultant** **On-Site Requirement:...or customer segmentation based on analytical insights, clinical inputs, product design and operations considerations. + Develops predictive models… more
- CVS Health (Tallahassee, FL)
- … Manager (109), Product Owner (PO) is responsible for leading the Medicare innovation product development for the Grievance & Appeals (G&A) ... product vision and translates it for the product development team. They are responsible for...Roadmaps (10%) + Develop a deep understanding of the Medicare innovation strategy and initiatives + Provides clarity of… more
- Humana (Tallahassee, FL)
- …sales distribution of Humana's Insurance Products, is currently seeking an experienced Senior Product Manager with technical expertise to join our team focused ... including, but not limited to acting as both a Product Manager and a Product ...+ Manage vendor relationships and third-party partnerships to support product development and delivery + Work closely… more
- Datavant (Tallahassee, FL)
- …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the ... requirements, working closely with Engineering, Data, and Clinical stakeholders. + Lead product development cycles from ideation to release, ensuring delivery of… more
- Humana (Tallahassee, FL)
- …and help us put health first** We're seeking a strategic, results-driven Lead Product Manager to design and deliver innovative clinical solutions that improve ... such as: user research and concept testing, opportunity sizing and business case development , product blueprints, training development and ability to de-risk… more
- CVS Health (Tallahassee, FL)
- …of high quality care to the Medicare population. As a Senior Technical Product Manager , you will be responsible for driving the strategic direction of our ... planning, execution and on time delivery of multiple individual product initiatives within a single agile team. + Partner...Someone who actively seeks out new opportunities for knowledge development and growth, and knows how to ask the… more
- USAA (Tampa, FL)
- …special and impactful. **The Opportunity** **USAA is seeking a talented** ** Manager , Life/Health/Retirement Income to join the Life Company Health Solutions Team.** ... As a Manager , Life/Health/Retirement Income, you will manage a team of...Income. + Provides feedback for improvements to process and product owners within Life Company. + Removes obstacles and… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... and coding requirements + Analyze payer criteria and provide product access expertise to healthcare offices + Coordinate with...in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially… more
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