18 manager managed care analytics jobs at 13 companies in Lakeland, 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
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
2d
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Manager Acute Care Operations Care Management
Lake Wales, Florida, United States
$70k-$131k/yr OnsiteFull Time
1+ YOE3+ MgmtBachelor's degree in social work, nursing, or a healthcare-related field; 1+ year of related experience and 3+ years in the functional area. Requires organizational, analytical, communication, computer, and matrix-management skills.
Microsoft Outlook, Microsoft Word, Microsoft Excel, Cerner, NaviHealth, Suncare, EOS: FirstLook, Qlikview, CNO dashboard
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
3w
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Senior Nursing Manager Observation/PCU
Winter Garden, Florida, United States
$86k-$159k/yr OnsiteFull Time
2+ YOERequired: bachelor's in nursing, RN license, BLS, 2+ years of acute care clinical experience, management, leadership, communication, analytical, computer, and performance improvement skills.
Microsoft Office Outlook, Microsoft Word, Microsoft Excel
3w
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Senior Nurse Manager Emergency Department Four Corner OSED
Winter Garden, Florida, United States
$86k-$159k/yr OnsiteFull Time
2+ YOERequires a bachelor's degree in nursing, RN license, BLS, and 2+ years of acute care clinical experience. Requires leadership, financial and HR management, communication, analytical, computer, and nursing skills.
Microsoft Office Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
2d
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Senior Nurse Manager Mother Baby
Orlando, Florida, United States
$86k-$159k/yr OnsiteFull Time
2+ YOEBachelor's in Nursing and 2+ years of acute care clinical experience required. Requires RN license, BLS, nursing leadership, clinical, financial, HR, communication, analytical, and computer skills.
Microsoft Office Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
1mo
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Clinical & Financial Performance Manager
Albany or Arlington or Atlanta or Austin or Beaverton or Bentonville or Boston or Carmel or Charlotte or Chicago or Cincinnati or Cleveland or Columbus or Culver City or Denver or Des Moines or Detroit or Hartford or Houston or Irving or Kirkland or Miami or Milwaukee or Minneapolis or Morristown or Mountain View or Nashville or New York City or Oklahoma City or Overland Park or Philadelphia or Pittsburgh or Raleigh or Redmond or Sacramento or San Diego or San Francisco or Scottsdale or Seattle or St. Louis or St. Petersburg or Walnut Creek or United States
$80k-$294k/yr FieldFull Time
5+ YOERequires 5+ years of healthcare consulting, 2+ years in cost-of-care transformation, quality improvement, or clinical finance, a bachelor's degree, and strong analytical skills.
Stars, HEDIS, CMS
2w
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Senior Nurse Manager RN Medical Telemetry Unit
Winter Garden, Florida, United States
$86k-$159k/yr OnsiteFull Time
2+ YOERequires a bachelor's degree in nursing, active RN and BLS/CPR credentials, 2+ years of acute care clinical experience, strong leadership, communication, analytical, organizational, and computer skills.
Microsoft Office, Microsoft Outlook, Microsoft Word, Microsoft Excel
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
4d
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HEDIS Clinical Quality Navigator (OCS) - CareBridge
Indianapolis or Atlanta or Ashburn or Richmond or Louisville or Tampa or Miami or Durham or Nashville or Grand Prairie or Winston-Salem or Virginia
$18-$34/hr RemoteFull Time
1+ YOEHigh school diploma or equivalent and 1+ year related experience required. Managed care, HEDIS, Stars, CNA/CMA, related bachelor's degree, bilingual skills, and strong communication, analytical, facilitation, and problem-solving skills preferred.
HEDIS, STARS
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
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