- CVS Health (Tallahassee, FL)
- …based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Regulated Medicare Appeals: * Direct daily work ... * 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
- 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
- United Therapeutics (Tallahassee, FL)
- …orphan diseases. **How you'll contribute** The Associate Analytics, Insights and Operations Director , Market Access will lead data support across all functions of ... + Support and contribute to the design, development, and execution of department strategy + Design, implement, and maintain Market Access data analytic dashboard and… more
- CVS Health (Tallahassee, FL)
- …has an exciting opportunity to join its leadership team as an Executive Director , Network Management supporting our Florida market for our Commercial, Medicare , ... contracting, service, strategic relationships, plan management, and the value based contracting strategy for growth. You will make an impact by: + Leading and… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Director , BH Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other ... provider contracts and agreements with behavioral health providers. The Director , BH Provider Contracting requires an in-depth understanding of how organization… more
- Humana (Tallahassee, FL)
- …policies, standards and procedures that are aligned with IT standards and strategy . The Director , IT Vendor Management requires an in-depth understanding ... of our caring community and help us put health first** The Director , IT Vendor Management establishes and implements hardware and software acquisition, protection,… more
- Sumitomo Pharma (Tallahassee, FL)
- …a dynamic, highly motivated, and experienced individual for the position of ** Director , Pricing and Contracting.** This position reports to the **Executive ... Director , Pricing, Contracting & Policy** . The ** Director...to inform the payer and provider pricing and contracting strategy as well as inform overall commercial strategy… 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
- CenterWell (Tallahassee, FL)
- …of our caring community and help us put health first** Description: The Clinical Strategy and Practice Lead directly supports the Director of Clinical ... to decision-making. + Serve as proxy as appropriate for Director in key clinical and strategy meetings,...value drivers in full risk care delivery, ideally in Medicare /seniors **Use your skills to make an impact** **Scheduled… more
- Prime Therapeutics (Tallahassee, FL)
- …to stay ahead of evolutions, trends and best practices to inform business strategy and compliance program strategic plan. + Develop, track, and produce data metric ... or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +...ability to adjust focus **Reporting Structure** + Reports a Director in the Compliance department Potential pay for this… more
- Mathematica (Tallahassee, FL)
- …manage the full lifecycle of proposal development, including RFP analysis, strategy development, writing, budgeting, and submission for government clients (State, ... and Mathematica's contractual and regulatory requirements. * Act as Project Director on select awarded projects, ensuring successful execution from kickoff through… more