- Growth Ortho (Tampa, FL)
- p>Job Title: Director of Payer Strategy & Contracting Location: Remote (with limited travel, approx. 2-4 days/month) Reports To: SVP, Revenue Cycle Organization: ... Position Summary: Growth Orthopedics (GO) is seeking a strategic and experienced Director of Payer Strategy & Contracting to lead enterprise-wide initiatives… more
- AdventHealth (Altamonte Springs, FL)
- …Hope Way Altamonte Springs, FL 32714 **The role you'll contribute:** The Director of Ambulatory Pharmacy Contracting and Analytics supports contract management ... understanding of pharmacy operations, market dynamics, and healthcare regulations. The Director formulates and executes contracting strategies with insurance… more
- Caris Life Sciences (Tallahassee, FL)
- …benefit plans). Responsible for obtaining positive payer coverage policies, securing in- network contracting and maximizing reimbursement while minimizing access ... than yourself, Caris is where your impact begins.** **Position Summary** The Director of Market Access drives medical policy coverage initiatives and contracting… more
- AdventHealth (Tampa, FL)
- …Engagement & Performance Quality & Network Design, Chronic Care Management, Network Operations and Network Development , ensuring effective support of ... **Executive Director of Population Health AdventHealth PHSO Resources** **All...the organization's Population Health employed and community provider's through contracting and strategic alignment, market executive engagement, network… more
- CVS Health (Tallahassee, FL)
- …support audit readiness and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting , and Provider Relations to ensure alignment with ... each and every day. **A Brief Overview** The Lead Director , Provider Data Compliance is responsible for overseeing the...also serve as a key liaison between Compliance, Legal, Network Contracting , and Provider Relations teams. **Required… more
- Highmark Health (Tallahassee, FL)
- …incumbent will work closely with stakeholders across the enterprise in the development and implementation of an integrated roadmap for the introduction and delivery ... and government lines of business. This team will be responsible for supporting development and maintaining models that will drive both the return on investment (ROI)… more
- CenterWell (Tallahassee, FL)
- …+ Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities **Alert:** Humana ... a part of our caring community and help us put health first** Associate Director will lead the Revenue Cycle Management team for the CenterWell Senior Primary Care… more
- Amentum (Tallahassee, FL)
- **Amentum seeks a Director , Insurance and Risk Management.** **Amentum** is a global leader in advanced engineering and innovative technology solutions, trusted by ... Risk Management Team has an immediate opening for a ** Director of Insurance and Risk Management** position to join...determine the best coverage model, and build out a network of insurance providers to support our current and… more
- Catalent Pharma Solutions (St. Petersburg, FL)
- …EU, and Asia/Pacific region, and more than 50 depots covering 6 continents, Catalent Development and Supply has a robust network built around flexible and ... **Account Director , Comparator Services:** _Catalent, Inc. is a leading...Comparator Services:** _Catalent, Inc. is a leading global contract development and manufacturing organization (CDMO) whose mission is to… more
- Molina Healthcare (Orlando, FL)
- …Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development , provider contracting experience. + Experience with NCQA, ... the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support… more
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