- CVS Health (Tallahassee, FL)
- …initiatives to support audit readiness and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting , and Provider Relations to ... consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions… more
- CVS Health (Tallahassee, FL)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...support of global and regional network strategies. Expand International provider network by contracting new direct pay… more
- CVS Health (Tallahassee, FL)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...management, and overall claim/customer service experience. The candidate will provide concierge-level service to GLOBAL VIP CLIENT members by… more
- CVS Health (Tallahassee, FL)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team.… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy ... as valuable partners. + Requires an in-depth knowledge of provider services and contracting subject matter expertise....provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare… more
- CVS Health (Tallahassee, FL)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...that may affect Utilization Management, Enrollment, Claims, Configuration, Network, Contracting and/or Provider Data. + If any… more
- Centene Corporation (New Port Richey, FL)
- …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... Pasco, and Pinellas.** **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks...relations to ensure delivery of the highest level of care to our members. Engage with providers to align… more
- Centene Corporation (Orlando, FL)
- …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... to** **75% travel)** **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks...relations to ensure delivery of the highest level of care to our members. Engage with providers to align… more
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy ... serves as the primary point of contact between Molina Health plan and the Provider community that...provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare… more
- Molina Healthcare (Miami, FL)
- …limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting . * Identifies issues, resolves problems ... including min. 2 years of supervisory experience * Min. 2 years health plan Provider Network experience **Required License, Certification, Association** N/A… more