- Cardinal Health (Tallahassee, FL)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- CVS Health (Tallahassee, FL)
- …License * Certified Case Manager (CCM) * Case Management experience * Managed Care experience * Telephonic case management and/or telephonic customer service ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...heart, each and every day. **Position Summary** This Case Manager RN position is 100% remote, and the employee… more
- MyFlorida (Tallahassee, FL)
- …of Floridians' health, health care services and costs, and is vital to managed care rate setting, health care economics, and health plan evaluation. ... 68046114 - ECONOMIST SUPERVISOR - SES / ACTUARIAL MANAGER Date: Oct 20, 2025 The State Personnel...and technical and analytical support with regards to the managed care rate setting process and methodologies… more
- CenterWell (Tallahassee, FL)
- …Nurse with a Bachelor of Science in Nursing (BSN) to join our team as a Care Manager , Telephonic Nurse 2. In this pivotal role, you will play a crucial ... infectious diseases, cancer(s), and other rare ailments. As a Care Manager , Telephonic Nurse your primary responsibility...Microsoft Office applications including Word, Excel, and Outlook + Managed care experience + Must be passionate… more
- Highmark Health (Tallahassee, FL)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Humana (Tallahassee, FL)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- CDM Smith (Tallahassee, FL)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- CenterWell (Tallahassee, FL)
- …Tallahassee, FL **This position comes with a $15K sign-on bonus.** The **Clinical Manager ** coordinates and oversees all direct care patient services provided by ... implements, analyzes, and organizes clinical operations for a specific location managed . + Conducts/delegates the assessment and reassessment of patients, including… more
- CVS Health (Tallahassee, FL)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Tallahassee, FL)
- …C- SNP plans. **Preferred Qualifications** Strategic thinker with knowledge of managed care , value-based models and integrated delivery systems **Education** ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- V2X (Tallahassee, FL)
- …supporting mission operations on short-notice. V2X is seeking a Ship Operations Manager (SOM) to perform Radar Engineering duties onboard a forward deployed platform ... assigned. This position reports to the Mobile Sensors Program Manager While performing SOM role, the candidate will be...the operations and maintenance (O&M) support of the systems managed by V2X. They will serve as the Senior… more
- MyFlorida (Tallahassee, FL)
- …waivers and home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review ... and rules, the Florida Medicaid State Plan and its amendment processes, Medicaid Managed Care Waivers and Medicaid program manuals. - Leading, developing,… more
- UMB Bank (Tallahassee, FL)
- As the **Portfolio Manager - BBBLC** **,** you will be responsible for assisting Business Banking and Practice Finance officers in the portfolio management ... activities (generally loans over $500,000) that are reviewed, decisioned and managed by the BBLC (Business Banking Loan Center). You will partner with and support… more
- CVS Health (Tallahassee, FL)
- …**Required Qualifications** + 3-5 years of related experience, proven and proficient managed care network negotiating skills. + Strong verbal and written ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Western Digital (Tallahassee, FL)
- …years** in legal business consulting, legal technology innovation, or legal managed services * Strong technical program management with large-scale legal operations ... mental disability, medical condition, genetic information, protected medical and family care leave, Civil Air Patrol status, military and veteran status, or… more
- Highmark Health (Tallahassee, FL)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... + 1 year in a clinical setting **Preferred** + 5 years in UM/CM/QA/ Managed Care + 1 year in advanced training and experience in cognitive behavioral therapy… more
- Sedgwick (Tallahassee, FL)
- …and inclusion. **PRIMARY PURPOSE** **:** To determine account management strategies related to managed care client service plans; to be responsible for retention ... revenue growth, client surveys, and new business; to provide managed care program management for jumbo clients...and experience required to include two (2) years account manager experience or five (5) years adjuster experience including… more
- Cardinal Health (Tallahassee, FL)
- …independently with minimal supervision. + Strong organizational skills. + Understanding of managed care contracts and fee schedules, including Medicare and ... and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the… more
- CenterWell (Tallahassee, FL)
- …minimal opportunity for deviation. **Job Functions** + Prepares and processes all managed care referral paperwork. + Gathers pertinent information from ... procedures with specialists and providers outside of the primary care physician's office. The Referral Coordinator performs basic administrative/clerical/operational/customer… more
- OSL Retail Services (Tallahassee, FL)
- …and supports the development of our sales teams. Reporting to the Manager , Sales Enablement, the incumbent will be driving results through expert delivery, ... and maintain training material and curriculum resources with upward feedback to Manager of Sales Enablement. + Distribute training aids, such as instructional… more