- 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 (Tampa, FL)
- …pricing). 2 years supervisory/management experience with appeals/grievance processing within a managed care setting. **Preferred Education** Bachelor's degree To ... to Molina Medicare's maximum STAR ratings. **Job Qualifications** **Required Education** Associate 's degree or 4 years of Medicare grievance and appeals experience.… more
- Actalent (Tampa, FL)
- …and knowledge of URAC & NCQA standards. + Broad knowledge of healthcare delivery/ managed care regulations and experience with evidence-based care guidelines ... are being rendered. + Partner closely with PAC Medical Director in care planning and goal setting,...The opportunity exists to go permanent with a large managed care organization. Work schedule: Tuesday to… 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
- 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