- The Cigna Group (Tampa, FL)
- …or complex provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet internal operational standards and external ... to work in the office or visit Providers 3 days per week The **Manager, Provider Contracting Network Management** serves as an integral member of the Provider … more
- Molina Healthcare (FL)
- …and hospital contracting, etc. + Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare ... provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and...staff are the primary point of contact between Molina Healthcare and contracted provider network. They are… more
- Molina Healthcare (Miami, FL)
- …in a managed care setting. + Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare ... provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and...staff are the primary point of contact between Molina Healthcare and contracted provider network. They are… more
- Molina Healthcare (FL)
- …in a managed care setting. * Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare ... provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and...staff are the primary point of contact between Molina Healthcare and contracted provider network. They are… more
- Molina Healthcare (Tampa, FL)
- …DESCRIPTION** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains ... critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they… more
- Molina Healthcare (Orlando, FL)
- …**This role will have standard EST business hours.** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation ... and maintenance of critical provider information on all claims and provider ...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **Knowledge/Skills/Abilities**… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **KNOWLEDGE/SKILLS/ABILITIES**… more
- Molina Healthcare (Miami, FL)
- …adjudicators and senior provider claims adjudicators. Train and coach new employees. Provide clear and concise results on the provider claims model across ... to closure. + Perform daily troubleshooting procedures to support Provider Claims functions as needed. + Participates in or...and/or policies. + Serves as subject matter expert and provide feedback to team and provide training… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, ... claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. + This role is involved in… more
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