- Molina Healthcare (St. Petersburg, FL)
- …of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops ... infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and… more
- Molina Healthcare (St. Petersburg, FL)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... departmental leadership. **Qualifications** **Education** * Bachelor's degree - Health Administration , Business, Information Systems, or related field (advanced degree… more
- Molina Healthcare (St. Petersburg, FL)
- …Medical License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration , Public Health, ... **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of… more
- Molina Healthcare (St. Petersburg, FL)
- …Education** Bachelor's Degree or equivalent years of experience in Healthcare Administration such as oversight, audit, etc. **Required Experience** * 7 years ... of 5 years or more **Preferred Education** Master's Degree in Healthcare Administration **Preferred Experience** + 10 years of managed care experience (Regulatory… more
- WTW (Tampa, FL)
- …leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental ... join our Sales Center Team as a Bilingual Sales Director . How the Position Works The Sales Director...Bilingual in English and Spanish. + Strong understanding of Medicare and Medicaid regulations and healthcare industry best practices… more
- WTW (Tampa, FL)
- …leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental ... to join our Sales Center Team as a Sales Director . **How the Position Works** The Sales Director...within a sales center environment. + Strong understanding of Medicare and Medicaid regulations. + Demonstrated integrity and strong… more
- Molina Healthcare (St. Petersburg, FL)
- …without restrictions to practice and free of sanctions from Medicaid or Medicare . **PREFERRED EDUCATION:** Master's in Business Administration , Public Health, ... **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of… more
- AdventHealth (Tampa, FL)
- **Basic Function** The Fellowship Program Director , in accordance with the specific accreditation body, has responsibility and accountability for the operation of ... well-being. + Oversight of scholarly activities The Fellowship Program Director reports to the Sponsoring Institution's Chief Academic Officer/Designated… more
- BayCare Health System (Clearwater, FL)
- …(GED)AND at least one of the following qualifications: + NCCAP Activities Director Certification OR + Occupational Therapist License OR + Occupational Therapist ... based on regulatory standards set by the Centers for Medicare and Medicaid Services (CMS) and the Agency for...Medicaid Services (CMS) and the Agency for Health Care Administration (AHCA) for long-term care facilities.Requirements are subject to… more
- Molina Healthcare (St. Petersburg, FL)
- …the design and implementation of value-based care programs across Medicaid, Medicare , and Marketplace populations, ensuring alignment with clinical, quality and ... programs that are responsive to market needs and tailored for Medicaid, Medicare , and Marketplace populations. + Develops contracting frameworks that are inclusive… more
- MyFlorida (Tampa, FL)
- GUARDIAN AD LITEM OFFICE, 13TH CIRCUIT- OPS JUSTICE ADMINISTRATION - 21813002 Date: Jun 25, 2025 The State Personnel System is an E-Verify employer. For more ... Commission Working Title: GUARDIAN AD LITEM OFFICE, 13TH CIRCUIT- OPS JUSTICE ADMINISTRATION - 21813002 Pay Plan: Temp Position Number: 21813002 Salary: $15.75 PER… more
- Bristol Myers Squibb (Tampa, FL)
- …of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and compliance in ... for Manufacturer Discount Program (formerly Coverage Gap Discount Program) administration and payment responsibilities + Champion process improvement initiatives as… more
- Bristol Myers Squibb (Tampa, FL)
- …of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and compliance in ... payments with SAP + Lead team with Coverage Gap Discount Program administration and payment responsibilities + Lead or support process improvement initiatives +… more
- AdventHealth (Tampa, FL)
- …needs of patients by CPOE/written/oral methods + Dispense & Administration of medications + Performance medication reconciliation + Formulating interventions ... agencies ie DNV, United Network for Organ Sharing (UNOS), Centers for Medicare and Medicaid Services (CMS), and Interagency Registry for Mechanically Assisted… more
- AdventHealth (Tampa, FL)
- …coding accuracy retrospectively and concurrently as assigned by manager and/or Director . . Reviews and addresses all third party/Regulatory Agencies requests for ... coding rules applicable to AdventHealth West Florida Division and requirements of Medicare and payor specifications. . Assign DRGs on chart in accordance with… more