• Director, Provider Network

    Molina Healthcare (Tampa, FL)
    …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
    Molina Healthcare (08/20/25)
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  • Senior Specialist, Provider Network

    Molina Healthcare (FL)
    …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... + Generates and prepares provider -related data and reports in support of Network Management and Operations areas of responsibility (eg, Provider more
    Molina Healthcare (08/02/25)
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  • Specialist, Provider Network

    Molina Healthcare (Orlando, FL)
    …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... network for entry into the plan's provider management system. + Reviews/analyzes data by...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (08/14/25)
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  • Manager, Provider Network

    Molina Healthcare (Miami, FL)
    …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... **Job Description** **Job Summary** Provider Network Administration is responsible for...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (08/13/25)
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  • Referrals Supervisor

    ChenMed (Miami, FL)
    …+ Knowledge of products, services, standards, policies and procedures in a healthcare environment + Network Management experience/understanding + ... medical personnel in a dynamic and professional environment to provide the highest level of quality healthcare ...List is used accurately and effectively. Collaborates with referral management to ensure specialist network is adequate… more
    ChenMed (07/29/25)
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  • Manager, Provider Contracting…

    The Cigna Group (Fort Lauderdale, FL)
    …need 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 ... management of the day to day contracting and network management activities for a local given...provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet internal operational… more
    The Cigna Group (07/04/25)
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  • Representative, Provider Relations HP (Must…

    Molina Healthcare (FL)
    Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for ... network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring...network development and management , or project management experience in a managed healthcare setting.… more
    Molina Healthcare (08/02/25)
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  • Program Manager - Network Solutions…

    Molina Healthcare (Tampa, FL)
    …Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft Project and Visio. + Excellent ... system analysis and program staff. These positions' primary focus is project/program management . **Job Duties** + Lead system and process solution initiatives from… more
    Molina Healthcare (08/02/25)
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  • Provider Contracting Lead Analyst - South…

    The Cigna Group (Sunrise, FL)
    …degree.** + **1+ years of Provider Contracting and Negotiating for Healthcare Provider /Ancillary group experience required** + **1+ years prior Provider ... office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member...assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process… more
    The Cigna Group (07/12/25)
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  • Senior Manager, Provider Plan Sponsor…

    CVS Health (Tallahassee, FL)
    …of claim coding (CPT/DRG, etc.), provider networks, benefit designs, healthcare products/funding, medical management programs and financial acumen. - ... day. **Position Summary** We are searching for an experienced provider network professional to support our plan...unique opportunity to work directly with plan sponsors, account management , local/ national network , clinicians and analysts… more
    CVS Health (08/09/25)
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