- Centene Corporation (Tallahassee, FL)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Director of Medicare Strategy drives the development of ... our Multi-year, market specific Medicare Strategy . In addition, this individual plans, directs and oversees the geographic market expansion of our Medicare … more
- Elevance Health (FL)
- ** Medicare Star Strategy & Program Development Director ** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will ... of one of our Elevance Health PulsePoint locations. The ** Strategy & Program Development Director ** is responsible...day-to-day Star performance, quality improvement and oversight of our Medicare contracts, as well as the achievement of KPIs… more
- CVS Health (Tallahassee, FL)
- …remote based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Medicare Appeals: * Direct daily work on ... * Provide direct support to appeal nurses and dedicated Medicare part D pharmacists; supervision and participation in the...Strategy support. * Develop subject matter expertise on Medicare policy for the enterprise. * Provide ongoing education… more
- Elevance Health (Miami, FL)
- ** Medicare Medical Director ** Location: This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles of one of ... be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the...creating a culture that is designed to advance our strategy but will also lead to personal and professional… more
- Molina Healthcare (St. Petersburg, FL)
- …to improve efficiency, productivity, effectiveness, and accuracy. * Works with the Director of Healthcare Analysis to develop and deploy an organizational ... strategy to optimize workflows. * Uses Lean and Six-Sigma...**Preferred Experience** * State QI experience * Medicaid and/or Medicare QI + **Databricks** + **Development leading indicators and… more
- Humana (Tallahassee, FL)
- …largest health benefits organizations in the country. **Location:** remote The Insurance Strategy team supports Humana's Medicare and Medicaid lines of business. ... for the business unit, evolving key dimensions of the Medicare Advantage growth strategy , developing a refreshed membership acquisition strategy , assessing… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Director , Medicaid Trend Mitigation Strategy provides data-based strategic direction to identify ... for business segments or the company at large. The Director , Medicaid Trend Mitigation Strategy requires an...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Evolent (Tallahassee, FL)
- …$64M of savings for Medicare in the Shared Savings Program. The Managing Director will report to the SVP Primary Care / President of Evolent Care Partners and ... You'll Be Doing:** Evolent is looking for a Managing Director of Value-Based Operations to join our Primary Care...an internal start-up in 2020 with a wholly owned Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO)… more
- Humana (Tallahassee, FL)
- …one of the largest health benefits organizations in the country. The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This ... and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Insurance Strategy Consultant,… more
- AdventHealth (Orlando, FL)
- …outpatients each year **The role you'll contribute:** The Care Management Facility Director has full accountability and oversight for the overall operations of the ... including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social… more
- AbbVie (Orlando, FL)
- …Tok (https://www.tiktok.com/@abbvie) . Job Description The Neurosciences and Urology Director of National Accounts leads AbbVie field-based competitive defense ... centers, military treatment facilities, and Veteran's Affairs Medical Centers. The Director of National Accounts, in partnership with District Managers and Account… more
- Humana (Tallahassee, FL)
- …goals and objectives, and improves performance. Provides input into functions strategy . The Director , Consumer Service Operations may perform installation, ... of our dynamic Wisconsin leadership team in this position as the Director , Consumer Service Operations. This position works with insurance companies, providers,… more
- Convey Health Solutions (Fort Lauderdale, FL)
- OVERVIEW The Director of Business Transformation is responsible for driving the strategic planning and execution of initiatives that transform the business model, ... organization remains competitive in a rapidly changing market. The Senior Director will work closely with senior leadership, department heads, and cross-functional… more
- AdventHealth (Orlando, FL)
- …and new staff along with community outreach; and program development. + The medical director would also be involved with building a core team of physicians working ... Unit. + This leadership position would report directly to the Executive Medical Director of AHMG Critical Care and have responsibilities to the campus Chief Medical… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Associate Director , Cloud Architecture designs, builds, and maintains data processing architectures and ... and unstructured data to insights at enterprise scale. The Associate Director , Cloud Architecture requires an in-depth understanding of how organization capabilities… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Actuarial Director , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Director , Actuarial Analytics/Forecasting requires an in-depth understanding of how organization… more
- Brookdale Senior Living (West Melbourne, FL)
- …participation in outside events. Coordinates with the business development coordinator/ director in joint efforts for assigned communities to generate referrals ... desired community occupancy goals. + Coordinates with the business development coordinator/ director on a weekly basis regarding joint business development efforts of… more
- Elevance Health (Tampa, FL)
- **Process Improvement Director -HEDIS** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1hour commute from the ... posted Elevance Health locations. This **Process Improvement Director -HEDIS** will be responsible for enterprise HEDIS improvement and governance programs, with… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Director , IT Portfolio Management for Enterprise Information Protection (EIP) develops and executes ... innovation to improve and mature Humana's security posture. The Director develops and executes on programs defined to implement...transparency and velocity + Ability to work closely with Strategy and Portfolio teams to have a holistic approach… more
- CVS Health (Tallahassee, FL)
- …issues with Senior Managers cross-functionally. Ensures integration of product strategy within company/business unit strategic and operational plans. **Primary Job ... Develops a comprehensive clinical specialty product management and development strategy aligned with the organization's goals, market trends, and customer… more