- AdventHealth (Maitland, FL)
- …coordinating depositions, and participation in any trial or hearing. . Audits existing Managed Care agreements for payer compliance with terms, timely ... This position will be responsible for execution of the managed care payor dispute resolution processes for...dispute resolution processes. The position reports to the Executive Director of Reimbursement and Compliance . Experience in… more
- Molina Healthcare (Orlando, FL)
- … healthcare experience + Understanding of the drivers and strategies across functions in managed care organizations (MCOs) as well as broad knowledge of the ... Duties** + Develops enterprise and domain-specific strategies to drive growth, compliance , and performance improvement within current business units + Leads… more
- Molina Healthcare (Orlando, FL)
- …* 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/ Managed Care experience * Experience demonstrating strong management and ... dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization… more
- Black & Veatch (Orlando, FL)
- **Solution Sales Director - Sustainability, Planning & Optimization** Date: May 29, 2025 Location: US Company: Black & Veatch Family of Companies **Together, we own ... + Bachelor's degree or relevant work experience + Has successfully managed multiple engagements simultaneously + Contributor or leader to acquire new… more
- AdventHealth (Orlando, FL)
- …and capacity to think strategically and implement tactically + Well versed in managed care and health policy + Experience with healthcare informatics, electronic ... coordinating and leading medical staff initiatives, cost-effective utilization, and compliance with regulatory standards. The ACMO provides leadership, strategic… more
- Molina Healthcare (Orlando, FL)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... of establishing a sufficient network of Participating Providers to serve the health care needs of Molina membership. * Develops and maintains a standard provider… more
- Molina Healthcare (Orlando, FL)
- …Knowledge and experience with value-based contracting. * In-depth knowledge of managed care business, regulatory/legal requirements, products, programs, strategy ... Develops the network, assuring network adequacy and access to member choice in compliance with federal and state laws. Negotiates and services larger and more… more
- CenterWell (Winter Haven, 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...(POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers.… more
- Grifols Shared Services North America, Inc (Orlando, FL)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... and functions including Territory Sales Representatives, Regional Sales Directors, Managed Markets, the Product Brand Team and other necessary stakeholders.… more
- Molina Healthcare (Orlando, FL)
- …with regulatory reporting **PREFERRED EXPERIENCE:** * 2-4 experience working for a managed care organization * 3-5 years experience in healthcare industry ... to ensure Reporting and Triage activities are timely, accurate and in compliance with requirements prescribed by Molina Healthcare Inc., coordination with other… more
- AdventHealth (Davenport, FL)
- …date on hospital clinical quality, benchmarking, and best practices + Well versed in managed care and health policy . Ability to work effectively with hospital ... . Participates in the review long stay and/or complex care patients in conjunction with the director ...the Hospital Board for quality and safety of patient care . Assures medical staff compliance with CMS,… more
- ChenMed (Orlando, FL)
- …data and making decision based of the data + Experience working in Medicare managed care environment We're ChenMed and we're transforming healthcare for seniors ... you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.… more
- Butterfly Effects (Orlando, FL)
- …behavior analysts (BCBA) and 800 behavior technicians. The 12 states we serve are locally managed by a regional director and team of BCBAs. Our corporate office ... affected by autism. Children and families are at the heart of our work, and we take care of the people who make all the difference - People like You! We have a… more