- TEKsystems (Tampa, FL)
- Care Manager Remote Pay Rate: $21/hr Schedule: M-F, shifts range 8am-8pm EST, must have full availability in this timeframe Anticipated Start Date: 12/1/2025 ... 6 Month Contract Description Care Manager responsibilities will vary by program...assistance programs and/or varied adherence support. This is a remote position. Primary Responsibilities: - Responsible for all inbound… more
- Molina Healthcare (Tampa, FL)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- System One (Tampa, FL)
- Position: Engineering Manager Location: Orlando, FL, Tampa, FL or Remote Options Business Unit: Transportation Overview: We are seeking an Engineering Manager ... FDOT requirements. + Work as part of a team or as a task/project manager , adhering to project budgets and schedules under moderate supervision. + Prepare engineering… more
- System One (Tampa, FL)
- Job Title: Senior Engineering Manager (Bridge) Locations: Tampa, Orlando, Jacksonville, Palm Beach Gardens or Remote Options. Job Description: A leading ... engineering firm is seeking a technically diversified Senior Engineering Manager to lead and expand its Transportation and Structural Practice in Florida. The ideal… more
- Sedgwick (Tampa, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Client Performance Manager - Workers Compensation | Remote | Travel Required Are you ... path. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs....certification as applicable to line of business preferred. **TAKING CARE OF YOU** + Flexible work schedule. + Referral… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... signs of trends or other issues related to medical care costs. + Work with clinical, provider network and...vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of SQL and… more
- Molina Healthcare (Tampa, FL)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... through sequential transformations and identify opportunities to close quality and risk care gaps. * Proactively communicate risks and issues to stakeholders and… more
- Molina Healthcare (Tampa, FL)
- …and customers. **Required Qualifications** + At least 5 years of health care finance and/or analytical experience, or equivalent combination of relevant education ... accounting or a related field. + Advanced training or experience in health care analytics. + Ability to convert data to meaningful reports. + Strong… more
- Molina Healthcare (Tampa, FL)
- …: * 5-7 years of Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional highly matrixed organization. ... **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : * PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired. To all current Molina employees: If you are interested in applying for this position, please apply through… more
- CenterWell (Tampa, FL)
- …a part of our caring community and help us put health first** The Field Care Manager , Behavioral Health 2 assesses and evaluates member's needs and requirements ... care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments...problem-solving capabilities **Working Conditions** This role is not 100% remote and may involve travel to patients' homes, treatment… more
- CenterWell (Tampa, FL)
- **Become a part of our caring community and help us put health first** The Manager Care /Case Management in **Tampa area (** **_this is not a remote ... and coordinating care to reduce acute and post-acute care utilization. The Manager role is hybrid with travel requirements to preferred healthcare facilities… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Remote Patient Monitoring- Home Telehealth Care Coordinator (RPM-HTCC) RN ... the patient and interdisciplinary team across the continuum of care to support patient self- management, prevention, and wellness....activities for the program as directed by the Nurse Manager . The RPM-HTCC RN serves as a member of… more
- Centene Corporation (Tampa, FL)
- …a fresh perspective on workplace flexibility. **Centene is Hiring - LTSS Service Care Manager (Hybrid, Tampa, FL)** Centene is seeking a **Bilingual ... (English/Spanish) LTSS Service Care Manager ** to join our Sunshine Health...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Molina Healthcare (Tampa, FL)
- …of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination of ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- Centene Corporation (New Port Richey, FL)
- …Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May ... develop or assist with developing personalized service care plans/service plans for long-term care members...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Molina Healthcare (Tampa, FL)
- …+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including ... and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and… more
- Molina Healthcare (Tampa, FL)
- …and other data in collaboration with other HEDIS staff. + Assists the Manager and Supervisor(s) and/or performs the coordination and preparation of the HEDIS medical ... loads data into the HEDIS application. + Assists the manager /lead and quality improvement staff with physician and member...seasons/years medical record collection experience. + 3+ years managed care experience. + Basic knowledge of HEDIS and NCQA… more
- Molina Healthcare (Tampa, FL)
- …+ Works with the Case Management department as part of a member-centered interdisciplinary care team. + Works with the PBM to manage formulary changes and update ... the pharmacy call center team as delegated by the Manager . + Identifies and implements programs to improve clinical...+ Medicare Part D or Medicaid experience. + Managed care experience. To all current Molina employees: If you… more
- Guidehouse (Tampa, FL)
- …management staff, and the Internal Revenue Integrity team with complex patient care cases by analyzing documentation and discussing correct code assignment. + ... clinical education. + Serves as a technical expert/resource for department manager , staff, physicians, administrative, and external customers to provide information… more
- Molina Healthcare (Tampa, FL)
- …of Molina Healthcare's Records and Information Management Team, reporting to the Manager , Information Governance. This role will support the overall management of ... **Preferred Qualifications:** + Experience in large (Fortune 500 or equivalent) health care company or other regulated industry preferred. + Knowledge of library… more