- 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
- Molina Healthcare (St. Petersburg, FL)
- …DRG/RCC pricing). 2 years supervisory/management experience with appeals/grievance processing within a managed care setting. To all current Molina employees: If ... to Molina Medicare's maximum STAR ratings.. **Job Qualifications** **Required Education** Associate 's Degree or 4 years of Medicare grievance and appeals experience.… 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
- CenterWell (Clearwater, FL)
- …implements, analyzes, and organizes clinical operations for a specific location managed . + Conducts/delegates the assessment and reassessment of patients, including ... updating of care plans and interpreting patient needs, while adhering to...outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue… more
- Molina Healthcare (St. Petersburg, FL)
- …with regulatory reporting **PREFERRED EXPERIENCE:** * 2-4 experience working for a managed care organization * 3-5 years experience in healthcare industry ... policies and procedures + Supports the Special Investigations Unit (SIU) Manager, Director , and team in the general development of the Operational Oversight Program… more
- Mass Markets (Tampa, FL)
- …and production of direct reports. Operations Managers work closely with the site director and client account managers to ensure adherence to corporate policies and ... REQUIRED QUALIFICATIONS + Minimum of 5-yearscall center managementexperience + Associate 's degree or equivalent combination of education and relevant work… more