- Meta (Tallahassee, FL)
- …prescription wearables technology across Rx channels. **Required Skills:** Product Marketing Manager - Prescription Payer Management Responsibilities: 1. Lead ... **Summary:** We're looking for a Consumer Product Marketing Manager , specializing in the vision insurance channel and prescription (Rx) commercialization of Meta's… more
- AdventHealth (Maitland, FL)
- …reimbursement. Ensures thorough research and validation of non-contracted and government payer information * including regulatory and interim rate updates in ... system issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst. Contributes to the development and implementation of new systems… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …us. **Position purpose** The National Director of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager of LMS, and is responsible ... development and execution of the payor, managed care, and payer contracting medical policy initiatives in collaboration with BD's...objectives. + Subject matter expert in all areas of payer relations and is highly-skilled in payer -related… more
- Cardinal Health (Tallahassee, FL)
- …contracting, enrollment, credentialing, and any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for reviewing, ... of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed care… more
- Datavant (Tallahassee, FL)
- …and life experiences to realize our bold vision for healthcare. As the Product Manager , Routing in the Payer Data Product Organization, you will lead the ... product strategy and execution for The Routing team. You will be working on building a sophisticated engine to power the exchange of healthcare data and remove data silos in a privacy-first manner. This engine is the "brains" behind where and how to optimally… more
- Sanofi Group (St. Petersburg, FL)
- **Job Title:** Field Reimbursement Manager Tzield - FL **Grade:** L3 **Hiring Manage:** TBD **Location:** US Remote, Florida: Miami and St. Petersburg **About the ... Reimbursement, within Patient Support for T1D (Type 1 Diabetes). The Field Reimbursement Manager (FRM) will be the field subject matter expert relating to product… more
- AdventHealth (Maitland, FL)
- …on the revenue cycle of AdventHealth. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms. This ... and operational contract issues while actively contributing to the provider payer relationships. Responsible for engaging in communication with Physician Enterprise… more
- University of Miami (Miami, FL)
- …this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Utilization Review Case Manager RN - Full Time The University of ... Miami is currently seeking a Prior Authorization Nurse Case Manager . The incumbent purose is to conduct initial chart...process using established criteria as set forth by the payer or clinical guidelines + Accurate review of coverage… more
- University of Miami (Miami, FL)
- …Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts initial, concurrent and ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient… more
- CenterWell (Orlando, FL)
- …Healthcare Administration, or related field. + Previous experience in a Pharmacy Benefit Manager (PBM) or healthcare payer environment. + Lean Six Sigma or ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
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