- 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)
- …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 (St. Petersburg, FL)
- …and hospital contracting, etc. * Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare ... other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare ...in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider … more
- Molina Healthcare (Orlando, FL)
- …implementation, project management, and analytics. Troubleshoot software problems specific to provider network administration applications. Provide training to ... **Job Description** **Job Summary** Provider Network Business Systems Administrator will work to...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Jacksonville, FL)
- …Medicare Claim Experience. **Required Experience** * 7 years' experience in healthcare claims review and/or Provider appeals and grievance processing/resolution, ... for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and… more
- Molina Healthcare (Tampa, FL)
- …+ Audit loaded provider records for quality and financial accuracy and provide documented feedback. + Ensure that provider information is loaded accurately ... DESCRIPTION** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains… 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
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- The Provider Inquiry Manager provides leadership and oversight of claim disputes. The position involves researching and investigating claim disputes, authorizing ... Research member eligibility, correct application of benefits, prior authorizations, provider contracts, fee-schedules, claim rules and system configurations +… more
- HCA Healthcare (Loxahatchee, FL)
- …Occurrence based malpractice Insurance + Expert practice management including privileging, provider enrollment, and billing and collections + Unmatched growth and ... leadership opportunities About ICC Healthcare : + ICC Healthcare employees over 650...help providers maintain this balance + We are a provider driven company that values provider input… more
- HCA Healthcare (Miami, FL)
- …healthcare systems in the country, with over 180 hospitals in 20 states + HCA Healthcare is the largest provider of GME Services, with over 4000 residents and ... HCA Florida Kendall Hospital seeks an experienced Advanced Practice Provider to join our Burn and Reconstructive Plastic Surgery...and 401k + No state income tax **About HCA Healthcare :** + HCA Healthcare is one of… more