- Molina Healthcare (FL)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- CVS Health (Tallahassee, FL)
- …largest CVS Health PBM clients. The Medicare Business Analytics - FEP - Sr . Manager provides technical, analytical and business support for the FEP Account ... team. The role serves as the authority for FEP program data analytics, trend analysis, contractual guaranteed financial metrics,...the Medicare Business Analytics - FEP - Sr . Manager incorporates these into all aspects… more
- Gilead Sciences, Inc. (Miami, FL)
- …that will improve the lives of patients with life-threatening illnesses worldwide. The ** Sr .** **Field Reimbursement Manager - HIV Prevention (** ** Sr . ... in navigating the complexities of the healthcare system. The Sr . FRM HIV Prevention will provide in-person and virtual...and reimbursement outcomes. + Assist the internal patient support program team in enhancing hub and FRM processes, such… more
- Elevance Health (Tampa, FL)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- Cardinal Health (Tallahassee, FL)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is ... years of comprehensive experience working with Rebate contracts, or within Medicare /Medicaid (eg insurance, government program operations, managed care… more
- Molina Healthcare (St. Petersburg, FL)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- Humana (Ocala, FL)
- …Annuity, Indemnity, Dental, Vision, Prescription plans, and more. The Senior Manager , MarketPoint Sales will supervise Medicare Sales Field Agents dedicated ... caring community and help us put health first** Our Senior Manager , MarketPoint Sales motivates and drives..., MarketPoint Sales motivates and drives a team of Medicare Sales Field Agents who sell individual health plan… more
- CVS Health (Tallahassee, FL)
- …more personal, convenient and affordable. **Position Summary** Aetna is recruiting for a Sr . Manager , Strategic Planning, reporting to the Executive Director of ... Medicare Strategic Business Planning and Programming. This position supports...facilitates the development of organizational, unit, and cross-functional strategic program management. **What you will do** + Enabling alignment… more
- Humana (Tallahassee, FL)
- …communications and be well-versed in current channel trends and best practices. As the Senior Marketing Campaign Manager , you will work with a diverse team of ... first** Humana's Marketing organization is seeking an experience Marketing Campaign Manager to join the Acquisition Email Marketing team working remote anywhere… more
- Prime Therapeutics (Tallahassee, FL)
- …vision, depth perception and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- Prime Therapeutics (Tallahassee, FL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Program Manager - Remote **Job Description** The Clinical Program ... and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations...Structure** + Reports to Sr Principal or Sr Director in the Clinical Program Management… more
- Cardinal Health (Tallahassee, FL)
- …+ Pharmacy benefits management experience preferred with specific knowledge of Medicare , Medicaid and commercially insured payer common practices and policies, ... and internal customers, create and complete applications for enrollment within program timeframes, review forms and supporting documentation thoroughly for any… more
- MyFlorida (Tallahassee, FL)
- 68065017 - SENIOR INFO TECH BUSINESS CONSULTANT/FX CERTIFICATION LEAD Date: Dec 16, 2024 The State Personnel System is an E-Verify employer. For more information ... 843229 Agency: Agency for Health Care Administration Working Title: 68065017 - SENIOR INFO TECH BUSINESS CONSULTANT/FX CERTIFICATION LEAD Pay Plan: Career Service… more
- HCA Healthcare (West Palm Beach, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... hours volunteering in our communities. As a(an) RN Case Manager PRN with HCA Florida JFK North Hospital you...each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental… more
- Humana (Tallahassee, FL)
- …help us put health first** Humana's Marketing organization is seeking a Senior Business Intelligence Engineer, Measurement Strategy & Marketing Performance to join ... market trends, and campaign performance. **Key Role Functions** + Works with Campaign Manager and Campaign Strategy roles to define the measurement approach for each… more
- AdventHealth (Orlando, FL)
- …resources and patient population._ _Collaborates with Executive Director of Research Operations, Sr . Clinical Operations Manager and AHRI Core Managers to ... **Clinical Research Operations Manager - Surgery & Orthopedics Research** **- AdventHealth...works closely with business development teams and Study Intake Program Managers to ensure all research projects are of… more
- HCA Healthcare (Tamarac, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... Do you have the career opportunities as a(an) Case Manager RN you want with your current employer? We...each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental… more
- HCA Healthcare (Miami, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... hours volunteering in our communities. As a(an) RN Case Manager with HCA Florida Mercy Hospital you can be...each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental… more
- HCA Healthcare (Miami, FL)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... integrity. We care like family! Jump-start your career as a(an) RN Case Manager today with HCA Florida Mercy Hospital. **Benefits** HCA Florida Mercy Hospital,… more