- Molina Healthcare (St. Petersburg, FL)
- …effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates high priority physician ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets and… more
- ERP International (Pensacola, FL)
- …the primary care clinic's health care team and assist the primary care manager (PCM) in managing the overall health of their enrolled population. The ... opportunity. www.erpinternational.com **Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense pride and… more
- Elevance Health (Lake Mary, FL)
- **Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... unless an accommodation is granted as required by law. The **Cost of Care / Provider Contracting Data Analyst** is responsible for provides analytical support to… more
- Elevance Health (Lake Mary, FL)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... for employment, unless an accommodation is granted as required by law. The ** Provider Contract Cost of Care Analyst Senior** provides analytical support to… more
- Humana (Tallahassee, FL)
- …Tier II Care Management. Coordinate cases with and refer to tier III Care Manager and Disease Management Programs as appropriate. **Use your skills to make ... The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or… more
- Cleveland Clinic (Weston, FL)
- Nationally certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in collaboration with ... the health care team in accordance with certification and licensure. Practice...Minimum of three years' experience as an Advanced Practice Provider . **Locations include:** Florida Hospital Weston, Martin Health North,… more
- Humana (Tallahassee, FL)
- …care such as ER, OR, Pre-op, PACU,L&D, mother-baby, behavioral health, SNF, care manager /discharge manager , LTC, rehab, outpatient or office/clinic visits ... + Minimum of 2 consecutive years acute inpatient hospital care experience in critical, intensive care setting...bi-weekly payment for their internet expense. * Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Molina Healthcare (Tampa, FL)
- …experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining SAI goals. ... staff. These positions' primary focus is project/program management. **Job Duties** + Provide project summaries that will be senior leadership facing with ties to… more
- Mayo Clinic (Jacksonville, FL)
- **Why Mayo Clinic** Mayo Clinic is top-ranked in more specialties than any other care provider according to US News & World Report. As we work together to put ... for assessing, planning, implementing, evaluating, and communicating the patient care plan progression. The RN Case Manager ...Scope and Standards of Practice and Code of Ethics provide a basis for the practice of the RN.… more
- Mayo Clinic (Jacksonville, FL)
- **Why Mayo Clinic** Mayo Clinic is top-ranked in more specialties than any other care provider according to US News & World Report. As we work together to put ... for assessing, planning, implementing, evaluating, and communicating the patient care plan progression. The RN Case Manager ...Scope and Standards of Practice and Code of Ethics provide a basis for the practice of the RN.… more