• Clinical Pharmacist - Managed Care

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …other projects, work, and activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not required + Part D Coverage ... and coding to be submitted to the Pharmacy Benefit Manager , New Contract Year formulary evaluation, and...of, or currently enrolled in, residency program (PGY1) in managed care pharmacy, or pharmacy practice. +… more
    DOCTORS HEALTHCARE PLANS, INC. (07/25/25)
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  • Manager Contract Management

    AdventHealth (Altamonte Springs, FL)
    …and clinical departments * to keep them informed of any concerns related to managed care reimbursement and operational contract issues. * Ensures hospital ... position is responsible for managing the AdventHealth Multi-State Division Contract Management team. This team is responsible for ...other products, policies and procedures that would impact the Managed Care team relative to processes and… more
    AdventHealth (07/04/25)
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  • Manager of Physician Contract…

    AdventHealth (Maitland, FL)
    …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... Enterprise leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. . Ensures key stakeholders… more
    AdventHealth (05/07/25)
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  • Construction Representative 4 ( Contract…

    CDM Smith (Miami, FL)
    …performed by the construction contractors. **Job Title:** Construction Representative 4 ( Contract Compliance Manager ) **Group:** CEI **Employment Type:** Regular ... Transportation and Public Works has awarded our team the contract to provide Construction Engineering and Inspection services for...Where it's a priority that the company takes good care of you and your family. Our employees are… more
    CDM Smith (06/03/25)
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  • Provider Contract /Cost of Care…

    Elevance Health (Tampa, FL)
    …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract /Cost of Care Consultant** **Locations:** This...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (07/29/25)
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  • Provider Contracts Manager

    Molina Healthcare (St. Petersburg, FL)
    …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different ... Operating Committees, and delegation oversight. Tighter knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts,… more
    Molina Healthcare (07/17/25)
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  • Clinical Account Manager - Georgia PDL…

    Prime Therapeutics (Tallahassee, FL)
    …experience in clinical operations, quality, network, pharmacy or project management OR a managed care pharmacy residency. + Proven ability to plan, organize, ... every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative...account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed , and EBIDTA… more
    Prime Therapeutics (07/24/25)
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  • Manager , Provider Contracting - Tampa, FL…

    The Cigna Group (Tampa, FL)
    …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... office or visit Providers 3 days per week The ** Manager , Provider Contracting Network Management** serves as an integral...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
    The Cigna Group (07/23/25)
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  • Network Relations Manager - Miami-Dade

    CVS Health (Homestead, FL)
    …work experience in healthcare. + Minimum of 3 years' experience in Medicaid Managed Care business segment environment servicing providers with exposure to ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
    CVS Health (06/18/25)
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  • Bleeding Management Key Account Manager…

    Grifols Shared Services North America, Inc (Orlando, FL)
    …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... and functions including Territory Sales Representatives, Regional Sales Directors, Managed Markets, the Product Brand Team and other necessary stakeholders.… more
    Grifols Shared Services North America, Inc (05/24/25)
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