• Director , Medicare Strategy

    Centene Corporation (Tallahassee, FL)
    …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Director of Medicare Strategy drives the development of ... our Multi-year, market specific Medicare Strategy . In addition, this individual plans, directs and oversees the geographic market expansion of our Medicare more
    Centene Corporation (01/10/25)
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  • Medical Director - Medicare Appeals

    CVS Health (Tallahassee, FL)
    …remote based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Medicare Appeals: * Direct daily work on ... * 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
    CVS Health (10/31/24)
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  • Director , Insurance Strategy

    Humana (Tallahassee, FL)
    …largest health benefits organizations in the country. **Location:** remote The Insurance Strategy team supports Humana's Medicare and Medicaid lines of business. ... for the business unit, evolving key dimensions of the Medicare Advantage growth strategy , developing a refreshed membership acquisition strategy , assessing… more
    Humana (12/21/24)
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  • Director , Medicaid Trend Mitigation…

    Humana (Tallahassee, FL)
    …part of our caring community and help us put health first** The Director , Medicaid Trend Mitigation Strategy provides data-based strategic direction to identify ... for business segments or the company at large. The Director , Medicaid Trend Mitigation Strategy requires an...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (01/08/25)
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  • Managing Director , Value Based Care…

    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
    Evolent (01/09/25)
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  • Insurance Strategy Consultant

    Humana (Tallahassee, FL)
    …one of the largest health benefits organizations in the country. The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This ... and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Insurance Strategy Consultant,… more
    Humana (11/05/24)
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  • Director , Consumer Service Operations

    Humana (Tallahassee, FL)
    …goals and objectives, and improves performance. Provides input into functions strategy . The Director , Consumer Service Operations may perform installation, ... of our dynamic Wisconsin leadership team in this position as the Director , Consumer Service Operations. This position works with insurance companies, providers,… more
    Humana (01/01/25)
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  • Executive Director , Network Management…

    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
    CVS Health (01/11/25)
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  • Associate Director Cloud Architecture

    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
    Humana (11/02/24)
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  • Director , IT Portfolio Management…

    Humana (Tallahassee, FL)
    …part of our caring community and help us put health first** The Director , IT Portfolio Management for Enterprise Information Protection (EIP) develops and executes ... innovation to improve and mature Humana's security posture. The Director develops and executes on programs defined to implement...transparency and velocity + Ability to work closely with Strategy and Portfolio teams to have a holistic approach… more
    Humana (12/14/24)
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  • Lead Director , Product Mgt. & Development…

    CVS Health (Tallahassee, FL)
    …issues with Senior Managers cross-functionally. Ensures integration of product strategy within company/business unit strategic and operational plans. **Primary Job ... Develops a comprehensive clinical specialty product management and development strategy aligned with the organization's goals, market trends, and customer… more
    CVS Health (01/04/25)
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  • Director of Data Science (Remote Eligible)

    Mathematica (Tallahassee, FL)
    …our benefits here: https://www.mathematica.org/career-opportunities/benefits-at-a-glance We are seeking a motivated * Director of Data Science* to lead a practice of ... within our Health Solutions and Insights division. This individual will define strategy and offerings for AI/ML solutions that address critical challenges in… more
    Mathematica (11/21/24)
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  • Principal Client Solution Architect - State…

    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
    Mathematica (01/04/25)
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