- The Cigna Group (Tampa, FL)
- …with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with proven ability ... to work in the office or visit Providers 3 days per week The **Manager, Provider Contracting Network Management** serves as an integral member of the Provider … more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Provider Enrollment Specialist at LogixHealth, you will perform all provider enrollment related procedures ... candidate will have strong technical skills, excellent interpersonal communication, and provider enrollment experience. Key Responsibilities: + Process provider … more
- Humana (Niceville, FL)
- …Walton, Bay, Holmes, Washington, Jackson, and Calhoun + 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or ... of our caring community and help us put health first** The Provider Engagement Professional 2 develops and grows positive, long-term relationships with physicians,… more
- The Cigna Group (Sunrise, FL)
- …+ Experience in developing and managing relationships + Understanding and experience with managed care , and provider business models a plus + Team player with ... office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- CVS Health (Tallahassee, FL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... medical cost management and overall claim/customer service strategies. This role will provide concierge level of service to GLOBAL VIP CLIENT members via timely… more
- Molina Healthcare (St. Petersburg, FL)
- …Draft communication templates, talking points, and guidelines for external stakeholders. + Provide responsive support to provider and partner inquiries, ensuring ... **JOB DESCRIPTION** **Job Summary** The **Program Manager - Provider Engagement** plays a key role in driving...ensure timely communication of program updates and deliverables. + Provide backup coverage for critical program tasks and maintain… more
- Elevance Health (Tampa, FL)
- …for autism and depression, and insightful analytics to improve the delivery of care . **Regional Vice President (RVP) Provider Solutions, Behavioral Health (East ... for all network management functions within the specified region. + Develops provider networks that provide a competitive advantage. + Align contracting… more
- Molina Healthcare (Miami, FL)
- …customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare provider ... **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and … more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **Knowledge/Skills/Abilities**… more
- Molina Healthcare (FL)
- …equivalent combination of education and experience **Required Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or ... **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate...Education** Bachelor's Degree **Preferred Experience** + 5+ years managed care experience + QNXT; SQL experience + Crystal Reports… more