- Bristol Myers Squibb (Tampa, FL)
- …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as well as all aspects with evaluating implications of and reporting Managed Care data required for US and Puerto Rico government pricing calculations.… more
- Humana (Tallahassee, FL)
- …clinical specialists with recent inpatient experience preferred** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- AdventHealth (Orlando, FL)
- …and capacity to think strategically and implement tactically + Well versed in managed care and health policy + Experience with healthcare informatics, electronic ... of clinical strategies that align with the organization's goals for quality care , patient safety and operational efficiency + Collaborate with physicians, nurses and… more
- Humana (Tallahassee, FL)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. The medical director has discussions with external… more
- Humana (Tallahassee, FL)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Humana (Tallahassee, FL)
- …Deep understanding and experience with healthcare policies and operations in a managed care setting Excellent oral and written communications skills, including ... is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being,… more
- Humana (Tallahassee, FL)
- …+ 5 years of established, post-residency clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + ... our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals.… more
- Compass Group, North America (Tampa, FL)
- Eurest Position Title: DIRECTOR OF DINING SERVICES - TAMPA, FL Salary: $80000-$85000 / year As the leader in business and industry dining, Eurest is the company to ... at interesting locations? Come grow your career with Eurest. Job Summary The Director of Dining Services is an exciting opportunity for an energetic, entrepreneurial… more
- Humana (Tallahassee, FL)
- …skills + 5 years of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + ... our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The… more
- Compass Group, North America (West Palm Beach, FL)
- …members. Job Summary Salary Range: $85,000-$95,000, DOE + BONUS POTENTIAL The Sr. Director of Dining Services is responsible for overseeing the day to day ... Foodservice operations in an acute care setting. You will manage and lead a team...controls, and presentation + Knowledge of P&L accountability and contract- managed service experience is desirable + ServSafe(R) certified a… more
- Molina Healthcare (FL)
- …experience with appeals/grievance processing within a managed care setting. **Preferred Education** Bachelor's degree. Previous Director ... to Molina Medicare's maximum STAR ratings. **Job Qualifications** **Required Education** Associate 's degree or 4 years of Medicare grievance and appeals experience.… more
- Mass Markets (FL)
- …highly motivated and dedicated and should possess the below qualities: + Associate 's or Bachelor's degree in Business Administration, Operations Management, or a ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Marriott (Kissimmee, FL)
- … associate health services * Acts as a liaison with benefit plans, health care providers, and managed care organizations and works in collaboration with ... Eligible, Relocation Assistance Available **Job Number** 25105077 **Job Category** Health Care Services **Location** Gaylord Palms Resort & Convention Center, 6000… more
- HCA Healthcare (Sunrise, FL)
- **Description** **Introduction** Do you have the career opportunities as an Associate Recruiter you want with your current employer? We have an exciting opportunity ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- ChenMed (North Miami Beach, FL)
- …the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) preferred. We're ChenMed and we're transforming ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...20% of the time. **EDUCATION AND EXPERIENCE CRITERIA:** + Associate degree in Nursing required. + Bachelor's Degree in… more
- ChenMed (North Miami Beach, FL)
- …the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired. We're ChenMed and we're transforming ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...facilities. + In conjunction with the PCP, Hospitalist, Medical Director , insurance case manager and the hospital case manager,… more
- CenterWell (Deland, FL)
- …sign-on bonus.** The **Clinical Manager** coordinates and oversees all direct care patient services provided by clinical personnel. + Develops, plans, implements, ... analyzes, and organizes clinical operations for a specific location managed . + Conducts/delegates the assessment and reassessment of patients, including updating of … more
- AdventHealth (Maitland, FL)
- …functions of AdventHealth Medical Group (AHMG) physician practices and their respective managed care contracted insurance plans to maintain compliance with ... Medical Group Central FL operates over 200 offices, providing compassionate, multidisciplinary care to more than one million patients a year. + In existence… more
- Evolent (Tallahassee, FL)
- …analytics or utilization management within a payer, provider, clinical vendor, managed care , or healthcare consulting environment. + Strong understanding ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Humana (Tallahassee, FL)
- …MPH, or other relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects ... and other health plans to millions. By integrating insurance with care delivery through CenterWell, Humana is improving healthcare access, coordination, and… more