- Molina Healthcare (FL)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- HCA Healthcare (Port St. Lucie, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... organization that invests in you as a Home Health Sr Clinical Manager ? At HCA Florida Healthcare...Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal… more
- Molina Healthcare (FL)
- …Extensive knowledge in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr . Business or System Analyst ... remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr . Business...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends… more
- Elevance Health (Miami, FL)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- Cardinal Health (Tallahassee, FL)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- AdventHealth (Altamonte Springs, FL)
- …: Lakeview Plaza Altamonte Springs, FL **The role you'll contribute:** The Care Management Senior Manager is under the general leadership of the Care Management ... Degrees without out-of-pocket tuition expense) + Nursing Clinical Ladder Program **Our promise to you:** Joining AdventHealth is about...operations and supervision of team members. The Care Management Senior Manager is responsible for, but not… more
- AdventHealth (Orlando, FL)
- …LAKE UNDERHILL ROAD, Orlando, 32822 **The role you'll contribute:** The Care Management Senior Manager is under the general leadership of the Care Management ... tuition expense) *For eligible positions* + Nursing Clinical Ladder Program *For eligible positions* + Whole Person Well-being and...operations and supervision of team members. The Care Management Senior Manager is responsible for, but not… more
- Cardinal Health (Tallahassee, FL)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
- Humana (Tallahassee, FL)
- …the sales distribution of Humana's Insurance Products, is currently seeking an experienced Senior Product Manager with technical expertise to join our team ... but not limited to acting as both a Product Manager and a Product Owner at times + Manage...off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer… more
- CVS Health (Tallahassee, FL)
- …next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more
- Humana (Tallahassee, FL)
- …the IT supply base, alongside run-the-business initiatives). As the IT Procurement Lead ( Senior Category Manager ), you will lead the development of category ... unit project implementations. + Drive corporate compliance to the preferred-supplier program via end-user change management and communications programs. + Work… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Senior Director, Payor Growth is a national leadership role and key point of contact ... for ChenMed's sales strategy and overall growth performance with Medicare managed care plan executives, including both Value Based Care and sales leaders. Position… more
- MyFlorida (Tampa, FL)
- …+ At least one year in a supervisory or management capacity in the ESS program Senior Management Analyst Supervisor - ESS Office of Public Benefits Integrity, ... SENIOR MANAGEMENT ANALYST SUPV - SES - 60026689...and resiliency. Within DCF, the Economic Self Sufficiency (ESS) Program helps to promote strong and economically self-sufficient communities… more
- Intermountain Health (Tallahassee, FL)
- … Medicare COB file processes, Medicare compliance, annual Medicare implementation, experience with program audit universes, FIR transactions, and ... payroll, hiring, employee relations, and staff mentoring. May represent department in manager absence. + Specific skills and an understanding of Part D plan… more
- MyFlorida (Tallahassee, FL)
- 68065016 - SENIOR INFO TECH BUSINESS CONSULTANT/MEDICAID INFORMATION TECHNOLOGY ARCHITECTURE LEAD Date: Apr 21, 2025 The State Personnel System is an E-Verify ... Agency: Agency for Health Care Administration Working Title: 68065016 - SENIOR INFO TECH BUSINESS CONSULTANT/MEDICAID INFORMATION TECHNOLOGY ARCHITECTURE LEAD Pay… more
- HCA Healthcare (The Villages, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... the career opportunities as a Home Health Weekend Clinical Manager you want with your current employer? We have...Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal… more
- Wounded Warrior Project (Jacksonville, FL)
- …to get started, we're ready for you. The Wounded Warrior Project (WWP) Senior Bequests Specialist provides administrative subject matter expertise for all aspects of ... financial advisors, trustees, and personal representatives. DUTIES & RESPONSIBILITIES + Provide senior leadership and guidance on behalf of the legal department for… more
- CVS Health (Tallahassee, FL)
- …skills and development needs. + Assess training needs and collaborate with the SIU Sr . Manager to create development plans for team members. + Develop and ... compliance with contractual requirements. + Coordinate and collaborate with compliance and senior leadership to align on program integrity initiatives. +… more
- HCA Healthcare (Sanford, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... have the PRN career opportunities as a(an) RN Case Manager PRN you want with your current employer? We...each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental… more
- HCA Healthcare (Pensacola, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... have the PRN career opportunities as a(an) RN Case Manager PRN you want with your current employer? We...will do in this role: + You will provide program orientation to patients/families/caregivers. Orientation will include the case… more