- Sharecare (Tallahassee, FL)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care … more
- Highmark Health (Tallahassee, FL)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… more
- Highmark Health (Tallahassee, FL)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
- Option Care Health (Tallahassee, FL)
- …infusion provider, there is no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and alternate site infusion services ... team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states.… more
- Wolters Kluwer (Tallahassee, FL)
- …will live in the eastern time zone area._** The **Customer Success Manager , Lippincott Solutions** is responsible for driving the implementation of all Nursing ... the industry. **Additional Information** : Lippincott Solutions for Patient Care | Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/lippincott-solutions) **Responsibilities:** * Maintains, extends,… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Employer Account Manager - Remote **Job Description** The Account Manager is responsible ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Pharmacist Account Manager - New York Remote **Job Description** + Leads the development of ... and operational framework. + Revenue Generation - Works jointly with Account Manager to ensure revenue goals, administrative expenses are managed. + Develops strong… more
- UMB Bank (Tallahassee, FL)
- …supporting each other to achieve this goal. As a **Senior Project Manager ** , you will lead multiple enterprise projects interacting with cross-functional teams ... Thu on-site) for candidates in the Kansas City area and open to qualified remote candidates outside of the Kansas City area but within the US.** **_How you'll… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Account Manager - Remote **Job Description** Overall management of assigned book of ... or services that includes demonstrating the knowledge of the dynamics facing managed care in the current market. + Understands about the company's business and… more
- Highmark Health (Tallahassee, FL)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- CVS Health (Tallahassee, FL)
- …DSNP into new markets across the country. **Fundamental Components** + Nurse Care Manager is responsible for assessing, planning, implementing, and coordinating ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Sharecare (Tallahassee, FL)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... . **Job Summary:** The Manager of Operations, Medical Record Retrieval has an overall...in a consistent, timely, and highly professional manner. The Manager of Operation ensures objectives, principals, values, mission and… more
- Sharecare (Tallahassee, FL)
- …and accurately explains the VBCM program and schedules appointments between member and Care Manager using shared calendar. + Utilizes email to communicate ... individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com… more
- CDM Smith (Tallahassee, FL)
- …best and brightest talent in our Technical Services Unit. This is a remote opportunity. This individual is responsible for developing and executing a sourcing ... prepare applicants for interviewing; ensure timely feedback to applicants and hiring manager throughout the process; extend offers of employment under direction of… more
- Merck (Tallahassee, FL)
- …to enhance data capabilities. (10%) **Impact:** Under the supervision of their manager , the Sr. GTOS identifies for the CSSM organization strategies and tactics ... in developing and implementing mitigation strategies when needed. Collaborates with manager to align the operational execution plan with divisional scorecard… more
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** Proposal Writer - Remote **Job Description** The Proposal Writer is responsible for responding to requests ... strategic positioning and messaging as directed by the sales lead, account manager , and/or client; identify and organize appropriate exhibits to effectively support… more
- Prime Therapeutics (Tallahassee, FL)
- …every decision we make. **Job Posting Title** Employer Account Executive - Remote **Job Description** The Employer Account Executive serves as the primary ... relationship manager for multiple employer/administrative services only (ASO) accounts. This...environment **Preferred Qualifications** + PBM, health plan, or health care experience **Minimum Physical Job Requirements** + Ability to… more
- Prime Therapeutics (Tallahassee, FL)
- …Posting Title** Senior Privacy Analyst (Incident Management Risk Mitigation) - Remote **Job Description** Purpose: The Senior Privacy Analyst is responsible for ... Preferred Qualifications: + Healthcare, Pharmacy Benefit Management (PBM) or other managed care work experience + Master's degree or other advanced education in… more
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** Mgr Solution Products- REMOTE **Job Description** The Manager Solution Products is responsible for the ... design concepts, practices, and procedures + SAFe Product Owner / Product Manager (POPM) Certification + Experience in Pharmacy Benefit Management (PBM) or related… more
- Prime Therapeutics (Tallahassee, FL)
- …**Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The Senior Compliance Analyst assists in the ... or other highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA) + Must be eligible to work in the United States… more