- Molina Healthcare (St. Petersburg, FL)
- …data, but lead with contextual knowledge of claims processing, provider contracts , and operational realities. + Create succinct summaries and visualizations that ... enable faster decision-making by leadership-not raw data exploration. **Job Qualifications** **REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, or… more
- Prime Therapeutics (Tallahassee, FL)
- …leadership as appropriate + Represents the Compliance Department on complex contracts or cross-functional projects; identifies key stakeholders from across the ... enterprise and establishes effective collaboration techniques to maintain ongoing partnership between functions + Serves as subject matter expert within Compliance and develops solutions to highly complex compliance problems by referring to precedence,… more
- Elevance Health (Tampa, FL)
- …a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... to transform federal health programs. The **Audit & Reimbursement III** is responsible for completing limited and full desk reviews on teaching, organ acquisition hospitals and other complex provider cost reports. **How you will make an impact:** + Plans,… more
- BrightView (Freeport, FL)
- …as well as sell enhancement services to clients, with or without base maintenance contracts , on their own. The EM will oversee a commercial landscape portfolio and ... multiple service teams. The EM will be responsible for training and developing these individuals by providing day-to-day operational scheduling and guidance. You'd be responsible for: + Understanding client needs via regular communication with the Account… more
- TYLin (Coral Gables, FL)
- …PMCM, Americas, and bring at least 20 years of expertise to managing contracts , driving business development, and leading diverse teams to project success. You'll be ... based in Coral Gables, Fort Lauderdale, or Miami - with opportunities to connect directly with clients, visit field offices, and see your work come to life on-site. **Responsibilities & Qualifications** **What You'll Do** + Lead PMCM projects for clients such… more
- Synchrony (Altamonte Springs, FL)
- …with platform finance teams and accounting operational teams on new or amended contracts , client issues, and other operational changes. + Perform other duties and/or ... special projects as assigned. **Qualifications/Requirements:** + Bachelor's Degree with a minimum of 10 years combined public and corporate technical accounting/policy experience and a minimum of 5 years of experience in public accounting. + Minimum of 5 years… more
- Justice, Bureau of Prisons/Federal Prison System (Tallahassee, FL)
- …inside and outside medical services; plans and coordinates purchases and/or contracts for supplies, equipment, specialty care or ancillary services; and maintains ... par inventory levels. Assists the HSA and Regional HSA to implement the Bureau's re-entry initiates including timely Inmate Skills Assessment data entry at admission and evaluation of health status documented in an updated electronic exit summary of release.… more
- Molina Healthcare (St. Petersburg, FL)
- …pertains to other provider network management areas, such as provider contracts . **KNOWLEDGE/SKILLS/ABILITIES** + Oversees receipt of and coordinates data from the ... provider network for entry into the plan's provider management system. + Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided. + Audits loaded provider records for quality and financial accuracy and… more
- NextEra Energy (Cocoa, FL)
- …work instructions. **Job Duties & Responsibilities** * Performs administration of procurement contracts and documentation in support of outage execution * Focuses on ... streamlining activities through the use of standardized processes and procedures, problem solving, and team engagement * Performs other job-related duties as assigned **Required Qualifications** * High School Grad / GED * Bachelor's or Equivalent Experience *… more
- Continental (Orlando, FL)
- …and through their teams. + Responsibility for customer acquisition; managing contracts / business proposals incl. Commercial negotiation. + Develop and maintain ... strategic and cooperative relationship with customers. + Leads the business to achieve budget (Volume, Sales, Growth, MOS, EBIT) and other planned targets and KPI's. + Ensures regular customer feedback on forecast and adjusts input to operations and SCM. +… more