- CVS Health (Tallahassee, FL)
- …to make health care more personal, convenient and affordable. **Position Summary** The Sr. Manager Medicaid Value Based Care (VBC) FL manages and oversees ... with our Network responsibilities as provided within the State Medicaid contractual requirements as outlined below: + Accountable for...Manager will assist in the recruitment of new value based providers as needed and maintain compliance with… more
- Prime Therapeutics (Tallahassee, FL)
- …decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is responsible for ... process adherence in support of Prime's contracting efforts with Louisiana Medicaid PBM business. This position is responsible for supporting the solicitation,… more
- CVS Health (Tallahassee, FL)
- …+ Key concepts (high level) of provider networks as they pertain to Medicaid products (contracting, adequacy, value -based payment models) + Previous Network ... alignment with CVS Care Delivery assets, and resides within the Network Value Based Solutions and Analytics Organization. This individual will manage multiple… more
- Prime Therapeutics (Tallahassee, FL)
- …and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the Compliance department Potential pay ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- CenterWell (Tallahassee, FL)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more
- Deloitte (Tallahassee, FL)
- …role ends on 2/5/25. Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital group, you will assist ... Deloitte Managers, Senior Managers and Partners in providing strategic and technical...paying for what is done to paying for the value provided. Deloitte health actuaries are involved in designing… more
- Humana (Tallahassee, FL)
- …the role for you. We are seeking a dynamic and experienced Lead Product Manager to lead our self-service and support product line encompassing both services and ... and other product teams as needed. A successful product manager is highly analytical, able to work effectively in...candidate for this role will have a business and value -oriented product sense, combined with a good understanding of… more
- Humana (Tallahassee, FL)
- …user applications and delivering comprehensive productivity solutions. This role works with senior executives and technical leaders to develop and drive segment or ... more areas, programs or functions and provides recommendations to senior executives on matters of significance. This role is...that are readily consumable by product teams to expedite value delivery. + Establish practices and processes for our… more
- Prime Therapeutics (Tallahassee, FL)
- …Title** IT Business Systems Analyst Sr **Job Description** The Business Systems Analyst (BSA) Senior IT is responsible for serving as a key role in solving complex ... Benefit Management (PBM) or healthcare experience with understanding of Medicare, Medicaid , the Exchanges along with regulatory compliance requirements (HIPAA and/or… more