- ChenMed (Miami, FL)
- …providers. We're rapidly expanding and we need great people to join our team. The Senior Manager , Payer Performance will provide analytical insights to ... optimize payer contract performance . The goal is to enable the company's leaders...+ Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Extensive understanding… 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 ... healthcare data, with bonus points for experience in the payer risk adjustment space + Deep comfort working with...of Datavanters who are all responsible for stewarding a high- performance culture in which all Datavanters belong and thrive.… more
- AdventHealth (Maitland, FL)
- …This affords AdventHealth leadership the foundation for reporting and determining overall payer performance and allows AdventHealth the ability to accurately ... Florida Division and Ancillaries. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms.… more
- Datavant (Tallahassee, FL)
- …and life experiences to realize our bold vision for healthcare. As a Sr Engineering Manager , you will be an engineering leader who shapes what we do and will set ... to customers** + **Be a critical leader of the payer products and business** , delivering rapid revenue and...of Datavanters who are all responsible for stewarding a high- performance culture in which all Datavanters belong and thrive.… more
- ChenMed (Miami, FL)
- …we need great people to join our team. Working with limited guidance, the Senior Analyst VBC (Value Based Care) Performance is responsible for proactively ... tracking the risk positions within ChenMed and understanding performance under VBC contracts, to support the strategic goals of the company. Performs technical and… more
- ChenMed (Miami, FL)
- …and Machine Learning (ML) driven solutions based on a rich stream of clinical, claims, payer , and behavioral data. The Senior Data Scientist operates in a highly ... we need great people to join our team. The Senior Data Scientist is responsible for developing and organizing...and complex analytical projects from data exploration, model building, performance evaluation and testing. + Assumes a prominent role… more
- Cardinal Health (Tallahassee, FL)
- …to recommend and implement preventive measures. + Prepare and present reports to senior leadership on collection performance , trends, and areas for improvement. ... **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing...of outstanding insurance claims. This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Otsuka Market Access - Regional Access Manager ** This position will be responsible for representing OAPI with Regional Payers. This includes interacting with all ... assigned payer channels and customers to attain and maintain profitable...brands. * The position will report to an OAPI Senior Director, Market Access Regional Accounts. * Must reside… more
- AdventHealth (Maitland, FL)
- …Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation of financial and ... economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on financial trends, reimbursement methodology, data… more
- University of Miami (Doral, FL)
- …Miami/UHealth Department of Clinical Access has an exciting opportunity for a full-time Manager , Patient Access position. Core Job Summary: The Manager , Patient ... Responsibilities: + Recruits, supervises, trains, and disciplines staff, and prepares performance reports. + Manages day-to-day activities of personnel to ensure the… more
- CenterWell (Tallahassee, FL)
- …reporting for open notes and addendums, and gap attestation process and performance expectations. + Train acquired providers on PCO documentation requirements and ... leaders and champions to identify HEDIS gaps and deficiencies. + Participate in Payer calls/chart reviews. + Compile payer findings and assist with research.… more
- CenterWell (Tallahassee, FL)
- …quantitative research techniques. + Experience in analyzing pharmacy, PBM and payer industry trends, competitive landscape, and consumer/patient behavior to inform ... skills to convey insights and recommendations to diverse audiences, including senior leadership. + Ability to create compelling presentations and reports that… more
- Elevance Health (Tampa, FL)
- …research of related technology and business trends, using data and qualitative performance measures, to advise senior management relative to IT strategy. ... will also be responsible for comprehensively looking at the provider and payer landscape to identify and drive innovative approaches for understanding medical cost… more
- Elevance Health (FL)
- …**Care Consultant Sr.** (Provider Success) is responsible for the provider performance of value-based care payment innovation and collaborative programs across the ... markets. The Care Consultant Sr. builds and owns trusting partnerships with senior and executive leadership at provider organizations to drive provider … more
- CenterWell (Tallahassee, FL)
- …with clients to better understand their needs and enhance proposal effectiveness. ** Performance Tracking and Reporting** + Monitor the success rates of RFP ... gather feedback for continuous improvement. + Prepare reports for senior management on RFP outcomes and the effectiveness of...alignment with client expectations. + Understanding of the Pharmacy, Payer and PBM industry and B2B sales processes to… more
- Elevance Health (Miami, FL)
- …resources and initiatives to accomplish the objectives and requirements defined by senior technology and product management across multiple teams. This is inclusive ... + Interfaces with key technology solution vendors; develops strategies and facilitates performance measurement plans to optimize vendor and associate performance … more
- ChenMed (Deerfield Beach, FL)
- …positive relationships with providers and key stakeholders for all ChenMed/JenCare/Dedicated Senior Health centers within the market. + Consults with the Medical ... + Prescribes medication and treatment in accordance with patient condition, payer coverage/guidelines and industry standards. + Reviews PCP requests for external… more