- University of Miami (Medley, FL)
- …. The Department of Business Development and Managed Care is currently seeking an Executive Director , Managed ... work at our offices in Medley, Florida. The Executive Director , Managed Care Operations develops,...and collections activities, and counsels medical department leadership on managed care protocols and strategy .… more
- AdventHealth (Maitland, FL)
- …role you'll contribute:** This position will be responsible for execution of the managed care payor dispute resolution processes for all AdventHealth providers ... dispute resolution processes. The position reports to the Executive Director of Reimbursement and Compliance. Experience in all aspects...and library of state regulations related to insurance and managed care regulations in all states where… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …and is responsible for the establishment, development and execution of the payor, managed care , and payer contracting medical policy initiatives in collaboration ... **maker** **of possible** with us. **Position purpose** The National Director of Payor Strategy and Market Access...+ Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …+ Perform other projects, work, and activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not ... Benefit Manager, New Contract Year formulary evaluation, and rebate strategy evaluation. The Clinical Pharmacist is the lead for...of, or currently enrolled in, residency program (PGY1) in managed care pharmacy, or pharmacy practice. +… more
- The Cigna Group (Tampa, FL)
- …from the competition. This role will be responsible for developing the strategy , design and delivery of effective distribution solutions to optimize current revenue ... and sales organizations. **Essential Duties and Responsibilities:** + Develop producer firm strategy using producer performance metrics to drive growth within each … more
- Molina Healthcare (Jacksonville, FL)
- …with value-based contracting. * In-depth knowledge of managed care business, regulatory/legal requirements, products, programs, strategy and objectives. ... **Job Description** **Job Summary** Leads the market's strategy and planning in the successful development of the provider network, including development,… more
- Hilton (Tallahassee, FL)
- …team that's helping hotels consistently grow market share and outperform competitors\. On the Managed team reporting to the Assistant Director , you will work on ... of a Revenue Management Consolidated Center \(RMCC\) that is offering owned, managed , and franchised Hilton hotels world\-class revenue management talent and tools\.… more
- ChenMed (Miami, FL)
- …of contact for ChenMed's sales strategy and overall growth performance with Medicare managed care plan executives, including both Value Based Care and ... need great people to join our team. The Senior Director , Payor Growth is a national leadership role and...business plans by aligning membership growth goals with contracted managed care plans. The person in this… more
- Capgemini (Orlando, FL)
- …senior director will be supported by a project management, strategy and architecture, network monitoring, tools, automation, reporting, asset management, and ... **Job Title** :Operations Delivery Director **Location** :Orlando,FL **Travel** :25% **Job description:** Capgemini...We address the entire breadth of business needs, from strategy and design to managing operations. To do this,… more
- Molina Healthcare (Jacksonville, FL)
- …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+ years of Medicaid managed care experience or in an equivalent related field * Ability ... with Medicaid Proposals and/or business development and requires demonstrated Medicaid managed care experience comprised of technical operational, sales, growth,… more
- AdventHealth (Apopka, FL)
- …5050 Wesley Rd Apopka, FL 32712 **The role you'll contribute:** **The Director of Inventory Management is responsible for providing leadership and strategic ... key in mitigating organizational exposure to product supply and distribution disruption. The Director of Inventory Management will also be responsible for a team of… more
- Humana (Tallahassee, FL)
- …relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects from ... concept to execution **Additional Information** This role reports to the Director of Strategy , works collaboratively with members of rest of the team, and with… more
- Evolent (Tallahassee, FL)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial Services utilizes and develops analytical tools to… more
- CenterWell (Tallahassee, FL)
- …which you are required to practice + Eight (8) years of clinical experience in managed care or equivalent experience + Five (5) years' experience in effectively ... caring community and help us put health first** The Director Drug Trend and Pipeline Forecasting will be the...teams at all levels on the concepts, opportunities and strategy of managing traditional and specialty medications + Ability… more
- Mass Markets (FL)
- …a trusted partner in the industry. We are seeking an experienced and visionary Director of Strategic Growth and Capture to lead and drive large-scale capture efforts ... SLED audiences, demonstrating MCI's competitive edge. + Contribute to pricing strategy development, leveraging data and market insights to support competitive bids.… more
- Molina Healthcare (FL)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... of establishing a sufficient network of Participating Providers to serve the health care needs of Molina membership. * Develops and maintains a standard provider… more
- ChenMed (Tampa, FL)
- …and linguistically diverse setting is essential + Experience working within a managed care environment strongly 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...the scope and member volume. + Assists the Medical Director , Cardiology in managing the day-to-day clinical and business… more
- Grifols Shared Services North America, Inc (Orlando, FL)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... and functions including Territory Sales Representatives, Regional Sales Directors, Managed Markets, the Product Brand Team and other necessary stakeholders.… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …coach patients to become self-advocates, and assist patients navigate the maze of the managed care delivery system. Essential Job Functions: + Assist SNP Case ... pertinent to patient's needs/goals. + Partners with the Program Director in development and review of the patient's individualized...navigator and point of contact for patients enrolled in managed care programs, assist patients with benefit… more
- HCA Healthcare (Tallahassee, FL)
- …contracting issues. + Provides medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials ... regarding delegated utilization management and disease management operations under managed care contracts. Meets all regulatory/contractual/accreditation requirements… more