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21 Jobs in Florida

  • Behavioral Health Case Manager I

    TAMPA, Florida
    ... of care plan and modifies plan as needed. Supports member access to appropriate quality and cost effective care. Coordinates with internal and external resources to meet identified needs of ...
  • Behavioral Health Case Manager I

    JACKSONVILLE, Florida
    ... of care plan and modifies plan as needed. Supports member access to appropriate quality and cost effective care. Coordinates with internal and external resources to meet identified needs of ...
  • Behavioral Health Case Manager I

    Tampa, Florida
    ... insightful analytics to improve the delivery of care. The BH Case Manager I is responsible for ... objectives and goals as identified during assessment. Monitors and evaluates effectiveness of care plan ...
  • Behavioral Health Case Manager I

    Miami, Florida
    ... insightful analytics to improve the delivery of care. The BH Case Manager I is responsible for ... objectives and goals as identified during assessment. Monitors and evaluates effectiveness of care plan ...
  • UM Medical Director - Orthopedic Surgery

    Tampa, Florida
    ... consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care ... services, to ensure the appropriate and most cost-effective medical care is received. May be responsible ...
  • UM Medical Director - Orthopedic Surgery

    Miami, Florida
    ... consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care ... services, to ensure the appropriate and most cost-effective medical care is received. May be responsible ...
  • UM Medical Director - Cardiology

    Miami, Florida
    ... enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff ... administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost ...
  • UM Medical Director - Cardiology

    Tampa, Florida
    ... enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff ... administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Tampa, Florida
    ... consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care ... services, to ensure the appropriate and most cost-effective medical care is received. May be responsible ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Miami, Florida
    ... consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care ... services, to ensure the appropriate and most cost-effective medical care is received. May be responsible ...
  • Project Director

    MIAMI, Florida
    ... per week. The rest of the time would be working remotely (from home). The ideal candidate will live within 50 miles of one of our Elevance Health office locations.**_ The **Project Director ...
  • Regional Vice President (RVP) Provider Solutions

    MIAMI, Florida
    ... cost of care and trend management strategy, hospital negotiations, network and product design ... provider experience. Delivers competitive cost-of-care trends throughout Florida, positively ...
  • Regional Vice President (RVP) Provider Solutions

    TAMPA, Florida
    ... cost of care and trend management strategy, hospital negotiations, network and product design ... provider experience. Delivers competitive cost-of-care trends throughout Florida, positively ...
  • Staff VP Technology (MBM), Carelon

    Tallahassee, Florida
    ... ensuring appropriate, safe, and affordable clinical health care services. As a proud member of the Elevance Health family of companies, together we’re creating better care for members, more value for customers and ...
  • LTSS Service Coordinator - Bilingual (English/ Spanish)

    Lakeland, Florida
    ... with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care plan, engaging the member’s circle of support and overall management of the ...
  • LTSS Service Coordinator - Bilingual (English/ Spanish)

    St. Petersburg, Florida
    ... with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care plan, engaging the member’s circle of support and overall management of the ...
  • LTSS Service Coordinator - Bilingual (English/ Spanish)

    Tampa, Florida
    ... with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care plan, engaging the member’s circle of support and overall management of the ...
  • Medicare Medical Director Clinical Programs

    Miami, Florida
    ... including cost of care. This role will work on Cost of Care, trend management, value-based care support for ... : Consulting experience and/or MBA. Managed care experience improving cost of care trend ...
  • Medicare Medical Director Clinical Programs

    Tampa, Florida
    ... including cost of care. This role will work on Cost of Care, trend management, value-based care support for ... : Consulting experience and/or MBA. Managed care experience improving cost of care trend ...
  • BH Care Manager II

    TAMPA, Florida
    ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. Refers ... quality member outcomes to optimize member health benefits and to promote effective use of health benefits ...
  • Director II Carelon Account Management

    TAMPA, Florida
    ... payment and reimbursement of services, ROI, and Cost of Care strategies. **Minimum requirements ... Management will lead the nationally recognized Crisis Center of Excellence, focusing on elevating evidence ...
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