- The Cigna Group (Tampa, FL)
- …market. Must be able to travel between Tampa, Orlando, Jacksonville.** **Role Summary** The Provider Performance Manager is a key member of a ... the Provider Performance Director, the Provider Performance Manager ensures the...members contribute to the growth and profitability of the Medicare Advantage (MA) business in their market in the… more
- AdventHealth (Temple Terrace, FL)
- …the plan to achieve patient/family goals and top decile outcomes. The PT Care Manager also identifies performance improvement and home health standard of care ... care. . Periodically reassess the patient every 30 days: provide the ordered therapy service, functionally reassess the patient...impacts care delivery + Recent, relevant experience in a Medicare -certified home health agency as a case- manager … more
- Elevance Health (Tampa, FL)
- …organization with health plans for people enrolled in Medicaid and/or Medicare programs in Florida. ** Manager I Utilization Management** **Location:** ... model with PulsePoint sites used for collaboration, community, and connection. The ** Manager I Utilization Management** is responsible for the daily management of… more
- Elevance Health (Tampa, FL)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... federal health programs. The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for … more
- Conviva (St. Petersburg, FL)
- …Internal Medicine or Geriatric Medicine preferred * Active and unrestricted DEA license * Medicare Provider Number * Minimum of two to five years directly ... our team-based care environment. We are a value-based care provider focused on quality of care for the patients...referral coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is… more
- Elevance Health (Tampa, FL)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... to work independently on assignments and under minimal guidance from the manager . + Monitors inventory to ensure workflow remains uninterrupted. + Assists management… more
- Elevance Health (Tampa, FL)
- … performance using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) ... experience; or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, & Experiences:** +… more
- Elevance Health (Tampa, FL)
- …develops, and implements related best practices. + Develops metrics to track performance and goal achievement + Serves as internal consultant relative to continuous ... improvement initiatives + Identifies and develops plans to improve performance to be incorporated enterprise wide. **Minimum Qualifications:** + Requires a BA/BS in… more
- WTW (Tampa, FL)
- …This position works in a call center setting and reports to the Performance Manager . **Responsibilities:** * Contacts and qualifies prospective customers and ... team of Insurance Sales Agents in Tampa, FL. We provide full-time inside sales positions working with some of...Full Benefits The Sales Agent typically holds Health and/or Medicare Supplement insurance license and works directly with consumers… more