20 manager managed care analytics jobs at 12 companies in Auburndale, FL
2mo
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Managed Care Resource
Orlando, Florida, United States
FieldFull Time
2+ YOEExpertise in managed care contracting and negotiation, knowledge of CPT-4/HCPCS/ICD coding, skilled nursing managed care experience, strong analytical and communication skills, proficiency with Contract Logix and Microsoft Office, willingness to travel up to 80% and reside in Orlando.
Contract Logix, Microsoft Word, Microsoft Outlook, Microsoft Excel
1mo
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Medical Economics Supervisor Managed Care
Altamonte Springs, Florida, United States
$66k-$123k/yr HybridFull Time
5+ YOE2+ MgmtBachelor's required; 5+ years in healthcare analytics/financial or risk analytics, 2+ years managerial experience; proficiency with Microsoft Excel; strong modeling, managed care, coding and reimbursement knowledge.
Microsoft Excel, Epic Resolute Hospital Billing Charging (EPIC RHBC)
2w
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Manager - Member Care
Orlando, Florida, United States
$110k-$130k/yr OnsiteFull Time
5+ YOE5+ MgmtRequires 5+ years leading digital customer support, customer experience, member services, or service operations teams with direct people management experience, plus omnichannel support, analytics, and cross-functional leadership.
chat, email, self-service, knowledge management, automation, AI
3w
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Behavioral Health Care Program Delivery Lead (Tandem Care)
The Villages or St. Petersburg or Orlando or DeLand or Kissimmee or Tampa
$115k-$158k/yr HybridFull Time
5+ YOEBachelor's degree,5+ years healthcare strategy and operations experience,analytics and dashboard development,cross-functional product translation,Excel and PowerPoint proficiency,strong collaboration and project management skills.
Athena, Microsoft Excel, Microsoft PowerPoint
1mo
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Program Director - Home Health Coordinator Planning Office (Florida Health Plan) - Remote in Florida
Florida or Jacksonville or Miami or Orlando or St Petersburg or Tampa
$80k-$157k/yr RemoteFull Time
7+ YOE3+ MgmtBachelor's degree,7+ years healthcare operations or managed care leadership,3+ years direct leadership,experience with Medicaid/managed care/home health preferred,strong analytical, regulatory and cross-functional coordination skills.
1mo
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Territory Manager, Vision Care - Orlando
Orlando, Florida, United States
$95k-$110k/yr FieldFull Time
2+ YOE2+ years B2B sales experience preferred, bachelor\u0002s degree preferred, valid driver\u0002s license, ability to travel up to 25%, CRM and Microsoft Office proficiency, strong communication and analytical skills.
Microsoft Office 365, Salesforce, Power BI
2mo
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EXECUTIVE DIRECTOR STRATEGIC CONTRACTING
Tampa, Florida, United States
OnsiteFull Time
10+ YOE4+ Mgmt10+ years managed care/healthcare finance experience with at least 6 years in managed care negotiations and 4 years management; bachelor’s required (healthcare, business, law), master’s/JD preferred; strong negotiation, reimbursement analytics, and payer strategy skills.
1mo
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Oncology Practice Enablement Clinician Sr. - Quality, Value Based Care, and Practice Tranformation
Chicago or Denver or Miami or Cincinnati or New York City or Tampa or Norfolk or Mason or Grand Prairie or Walnut Creek or Atlanta
$113k-$203k/yr FieldFull Time
7+ YOEBA/BS in Nursing or Pharmacy, PharmD, or MSW and 7+ years clinical/medical management experience; active unrestricted state license (RN, NP, RPh, MSW, LCSW); strong communication, facilitation, analytical skills; oncology experience preferred.
Carelon Provider Dashboard
3w
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Director, Actuarial Services
United States or Tampa
RemoteFull Time
5+ YOEBachelor's degree in a quantitative field, ASA and MAAA credentials, and 5+ years of actuarial experience including health plan or managed care experience. Requires healthcare pricing, reserving, risk adjustment, and analytical expertise.
Microsoft Excel, VBA, Tableau, SAS, R, Python, Snowflake, Databricks, AWS, ICD-10, CPT, HCPCS, DRG
1mo
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AR Follow Up Denials Specialist - Denial & Appeals Mgmt
Lakeland, Florida, United States
$18-$21/hr HybridFull Time
2+ YOE2+ years patient accounting experience, knowledge of Medicare/Medicaid/managed care, EOB interpretation, strong Excel/Word skills, analytical problem solving, HIPAA compliance, and effective written/verbal communication.
Microsoft Word, Microsoft Excel
3w
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Licensed Pharmacist
Orlando, Florida, United States
OnsiteFull Time
Licensed pharmacist in Florida required; long-term care experience preferred; hospital or retail experience helpful; strong analytical, communication and organizational skills; computer and Enterprise Content Management (ECM) software knowledge a plus; performs on-call duties.
Enterprise Content Management (ECM)
3mo
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Regional Medical Director (Bilingual Spanish)
Osceola County or Orange County
OnsiteFull Time
7+ YOE3+ MgmtMD or DO; board-certified in family medicine or internal medicine; Florida license; 7+ years clinical experience with 3+ years leadership; Medicare Advantage cost, value-based care, and population health knowledge; strong leadership and communication.
EMR systems, Data analytics, Clinical documentation