- Surgery Care Affiliates (Tallahassee, FL)
- …do it. Each decision we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork + Accountability + Continuous improvement ... + Calculate co-pay, and estimated co-insurance due from patients per the individual payer contract per the individual payer contract and plan as applicable. +… more
- Prime Therapeutics (Tallahassee, FL)
- … contracts , participation requirements, analysis of pharmacies, and ensuring contract and regulatory compliance. This position is accountable for creation and ... compliance with reporting and participation requirements; collaborate with Specialty Clinical Program Directors to identify potential performance gaps; work with… more
- IQVIA (Orlando, FL)
- …accounts, under the direction of the project's Client Lead. This includes developing contracts to optimize plan access, creating and following a strategic sales plan ... Complete all reports in a timely manner. + Develop, initiate, conduct contract negotiations with Accounts to attain positive formulary placement for Client's… more
- Highmark Health (Tallahassee, FL)
- …modular utilization and care management solutions, patient-focused digital products, and clinical data exchange capabilities, as well as outsourced technology and ... funnel from initiation to closure tracking metrics like closure rate, win rate, total contract value, annual contract value, gross and net margin. + RFP/RFI… more
- The Cigna Group (Tampa, FL)
- …analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates healthcare provider agreements ... and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost… more
- Growth Ortho (Tampa, FL)
- …the development, negotiation, and renegotiation of commercial and governmental payer contracts across all GO sites. Collaborate with payer representatives and ... inform and adapt strategy. Reimbursement Optimization & Dispute Resolution Analyze contract performance and reimbursement trends to identify areas of opportunity and… more
- HCA Healthcare (Port St. Lucie, FL)
- …Chief Medical Officer (CMO) ensures high quality, patient-centered care by leading clinical and quality initiatives that support the provision of consistent ... clinical performance and practice standards across the hospital. The CMO provides senior-level leadership to the infection control, risk management, safety, and… more
- Elevance Health (FL)
- …and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance ... Medical Director Associates. May be responsible for an entire clinical program. **How will you make an impact:** +...required._ * _*Additional experience may be required by State contracts or regulations if the Medical Director is filing… more
- Elevance Health (Miami, FL)
- …and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance ... Medical Director Associates. May be responsible for an entire clinical program. **How you will make an impact:** +...required. + Additional experience may be required by State contracts or regulations if the Medical Director is filling… more
- Elevance Health (Miami, FL)
- …and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance ... Medical Director Associates. May be responsible for an entire clinical program. **How you will make an Impact:** +...background. + Additional experience may be required by State contracts or regulations if the Medical Director is filing… more