- 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
- Pfizer (Tampa, FL)
- **ROLE SUMMARY** The Contract Manager supports Pfizer by executing against contract strategies for the customer base which includes but is not limited to the ... to support Pfizer Business Unit Sales and Portfolio strategies.The Contract Manager will be accountable for having...channel from wholesaler to pharmacy to institutions and through managed care pharmaceutical benefit. + Able to… more
- 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
- CVS Health (Plantation, FL)
- …residency preferred. **Education** + Bachelor's degree with or equivalent work experience in managed care , Medicaid and/or population health care programs. ... Health of Florida** (ABH-FL) is searching for a Senior Manager , Care Program Strategy who will be...these benefits and incentives. + Participation in RFP and contract implementations as an analytical leader of the Plan's… more
- 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
- 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 in Georgia **Job...account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed , and EBIDTA… more
- Veterans Affairs, Veterans Health Administration (Lake City, FL)
- …support staff, ensuring a smooth continuum of care for Veterans in primary care clinic. The Program Manager , Mental Health Clinic will be responsible for ... Florida/South Georgia VA Medical Center Mental Health Service as a Psychiatrist Program Manager serving in Lake City, Florida. The Psychiatrist Program Manager … more
- 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
- Devereux Advanced Behavioral Health (Orlando, FL)
- …tables for data analysis. + Ensure accurate billing and claims submission for Medicaid, Managed Care , and other third-party payors + Hiring and training staff. + ... reach their potential? Join Devereux as a Revenue Cycle Manager !_ We are seeking a dynamic, positive Revenue Cycle...management experience _preferred_ + Knowledge of Florida Medicaid, Florida Managed Care Plans, and third-party payer systems… more
- MyFlorida (Bradenton, FL)
- …within the Clinical Services Division to ensure sustainability. Acts as contract manager ensuring that contracts are managed according to contract terms ... PUBLIC HEALTH SERVICES MANAGER B - SES - 64080284 Date: Aug...Analysis. + Monitoring compliance of each component of health care services using established quality assurance tools and ensuring… more