Managed Care Jobs in Fort Myers
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Search Results - Managed Care Jobs in Fort Myers
Prisma Health-Fort Myers
Overview
In this role you will support and influence the financial strategy behind payer contracts and managed care initiatives. You’ll analyze initiatives, model financial outcomes, and assist in contract negotiations to align with organizational...
Universal Background Screening-Fort Myers
Managed Care, Education, and Professional Services.
About the Role
The Account Executive is responsible for selling Universal Background Screening’s employment screening, drug testing, and occupational health solutions to organizations. The primary focus...
mindmatch.ai -
UnitedHealth Group-Fort Myers
Share insights on product design/marketing and collect staff input
• Fulfill duties to meet department and company goals
• Maintain knowledge of Medicare regulations, managed care landscape, and legislative context
Key requirements
• Health, Life...
Abbott-Fort Myers
Overview
As a Diabetes Sales Specialist, you drive growth for ADC Products by engaging healthcare providers across channels and regions. You collaborate with Managed Care, Retail, and Point of Care teams to expand access and influence decisions...
Merck Sharp & Dohme (MSD)-Fort Myers
and sustain senior-level relationships to support strategic engagement
• Align account plans with payer and managed-care considerations for optimal access
• Deliver regional business results and achieve P&L targets
• Embed a customer-centric vision across...
UnitedHealth Group-Fort Myers
field; OR CPQH/CHCQM certification
• 2+ years of experience in managed care, Medicaid, maternal/child health, pediatrics, or population health
• Proven technical skills with Microsoft Excel, PowerPoint, Word, and Adobe PDF
• Solid organizational, time...
SCAN Health Plan-Fort Myers
and corrective actions
• Actively support SCAN’s vision and goals
• Other duties as assigned
Key requirements
• Bachelor's Degree or equivalent experience
• 2+ years in managed care, healthcare, or case management
• 2+ years experience with seniors and remote...
SCAN Health Plan-Fort Myers
experience (or 4+ years in Healthcare/Managed Care)
• Experience with HEDIS and medical claims data preferred
• Advanced MS Office proficiency; strong MS SQL querying skills
• Snowflake experience preferred; SQL Server Reporting Services and Integration...
Sedgwick-Fort Myers
with emphasis on data analysis or planning
• Knowledge of project management and insurance-related procedures or managed care systems (preferred)
• Strong Excel/data analysis skills
• Excellent verbal and written communication, including presentations
• PC...
UnitedHealth Group-Fort Myers
determinations, and participate in peer consultations. The position supports health outcomes by ensuring appropriate ABA services are used within managed care. You work remotely within a fast-paced, cross-functional environment that values inclusion...
Pennant Group-Fort Myers
Responsibilities
• Oversee full-cycle accounts receivable for assigned communities
• Audit AR functions for accuracy and compliance
• Analyze AR trends, aging, and reimbursement activity to identify risks and opportunities
• Prepare AR, Medicaid, and managed care...
CSpring-Fort Myers
of experience with Medicaid or public-sector healthcare programs
• 3+ years of experience writing SQL to analyze data in relational databases or data warehouses
• Understanding of Fee for Service and managed care claim adjudication
• Basic understanding of CMS...
Sanofi-Fort Myers
plans, manage relationships with accounts and KOLs, and navigate managed care and reimbursement to ensure access. You will work closely with cross-functional teams to translate clinical insights into market success while supporting Sanofi’s mission...
Jazz Pharmaceuticals-Fort Myers
and educational grant processes
• Provide medical input for promotional material reviews and ensure accuracy of medical presentations
• Respond to inquiries from healthcare professionals and managed care organizations with clinical and scientific supporting...
UnitedHealth Group-Fort Myers
with claims, marketing, and managed care systems (TPAs, HMOs, ACOs, etc.)
• Proficiency with Microsoft Office and CRM (Salesforce)
• Proven ability to upsell health services to employer clients
• Advanced consultative selling and ability to craft solutions...
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