- PharmaCord (Orlando, FL)
- When you join the team as an Executive Case Manager , you'll have the opportunity to make a difference in the lives of our patients each day as they look to you as ... prescriptions or cases are handled in a timely manner. An Executive Case Manager has the ability to translate knowledge into patient friendly language and education.… more
- AdventHealth (Maitland, FL)
- …government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application ... Ensures thorough research and validation of non-contracted and government payer information * including regulatory and interim rate updates...and interim updates which may impact payers and products managed by other Managed Care … more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …LMS, and is responsible for the establishment, development and execution of the payor, managed care , and payer contracting medical policy initiatives in ... National Director of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager ...+ Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best… more
- AdventHealth (Maitland, FL)
- …School Grad or Equiv Required + 4 of experience in managed care , patient financial services or healthcare payer relations background Required . Certification ... and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and...Care Directors and Ancillaries. * Accountable for ensuring Payer updates (policy, system edits, operational changes, etc.) are… more
- Cardinal Health (Tallahassee, FL)
- …place between payer and provider(s) to ensure optimal reimbursement including managed care contracting, enrollment, credentialing, and any other activity as ... it relates to payer interaction. The Manager of Payor Contracting...Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of… more
- AdventHealth (Altamonte Springs, FL)
- …**Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee ... the Physician Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing… more
- AbbVie (Orlando, FL)
- …and/or market access in neuroscience in Managed Health Care , Payer Account Management, Field Reimbursement Manager or equivalent role + Minimum 3 ... compliantly engage with a team of internal stakeholders, including Patient Services, Managed Health Care , Sales, and Access and Reimbursement hub.… more
- AdventHealth (Maitland, FL)
- …Required + 5 payer /provider contract negotiations and responsibility of overseeing a managed care department or team + Experience with leading a managed ... leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the implementation… more
- AbbVie (Orlando, FL)
- …Qualifications + At least 3 years of experience in Neuroscience with experience in Managed Health Care , Payer Account Management, and/or Access and ... lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For… more
- AdventHealth (Maitland, FL)
- …the analysis and evaluation of financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on ... skills. The Medical Economics Manager will manage and mentor managed care staff for both the Florida and Multi-State Divisions of AdventHealth, as… more
- Amgen (Orlando, FL)
- …in public or private third-party access arena or pharmaceutical industry in managed care , clinical support, and/or sales + Strong medical reimbursement ... us and transform the lives of patients while transforming your career. **Field Reimbursement Manager - Orlando, FL** **What you will do** Let's do this. Let's change… more
- Amgen (Jacksonville, FL)
- …in launching new specialty pharmaceutical/biologics products or indications + Knowledge of Managed Care , Government, Federal payer sectors, and Integrated ... lives of patients while transforming your career. **Field Reimbursement Manager , Senior Manager - South East** **What...private third-party access arena or pharmaceutical industry in sales, managed care , or clinical support OR Master's… more
- Elevance Health (FL)
- …**Preferred Qualifications:** + 5+ years of clinical practice experience, with transition into payer , managed care , or healthcare leadership preferred. + ... ** Manager , Medical Director - Transformation Initiatives** Location: This...+ **Real-time Decisioning & Analytics (RDA)** + **Cost of Care / Payment Integrity** + ** Care Management… more
- Takeda Pharmaceuticals (FL)
- …national level. + Use available tools and resources to monitor and evaluate industry/ managed care trends and communicate relevant information to those who are ... selling opportunities and adaptability to changing market conditions + Understanding of managed care landscape and how it influences/impacts business + Strong… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …Prior supervisory or management experience _preferred_ + Knowledge of Florida Medicaid, Florida Managed Care Plans, and third-party payer systems + ... reach their potential? Join Devereux as a Revenue Cycle Manager !_ We are seeking a dynamic, positive Revenue Cycle...+ Ensure accurate billing and claims submission for Medicaid, Managed Care , and other third-party payors +… more
- Cardinal Health (Tallahassee, FL)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial medical and pharmacy plans while ... (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy… more
- HCA Healthcare (Lake City, FL)
- …supervisory /management position involving case management/utilization review/responsibility in an acute care hospital and/or managed care setting required. ... organization that invests in you as an RN Case Manager PRN? At HCA Florida Lake City Hospital, you...initial screening of identified patients for appropriate level of care , priority, payer status and high-risk criteria.… more
- BayCare Health System (Sarasota, FL)
- …insurance, and benefit information. + Verifying insurance and benefits for all Medicare, Managed Care and Private Fee for Service Plans. Securing authorization ... system. + Timely requesting and communicating of authorizations to payer and documentation in EMR. + The Care...Coordination Assistant will work under the direction of the Care Transition Coordinator or RN Case Manager … more
- BayCare Health System (Largo, FL)
- …insurance, and benefit information. + Verifying insurance and benefits for all Medicare, Managed Care and Private Fee for Service Plans. Securing authorization ... system. + Timely requesting and communicating of authorizations to payer and documentation in EMR. + The Care...Coordination Assistant will work under the direction of the Care Transition Coordinator or RN Case Manager … more
- Organon & Co. (Orlando, FL)
- …utilization while meeting the needs of customers. + Understanding of the local managed care and reimbursement environment relevant to various customer segments ... their current practice structure, business model, and key influencers (ex: Managed Care Organization/payers, Management Service Organizations (MSOs), employers,… more
