- Prime Therapeutics (Tallahassee, FL)
- …+ 8 years of Network Management experience within Pharmacy Benefit Management (PBM), healthcare or other highly regulated industry; including 5 years of ... that. It fuels our passion and drives every decision we make. **Job Posting Title** Network Management Consultant - Remote **Job Description** The Network … more
- Elevance Health (Tampa, FL)
- … network management functions within the specified region. + Develops provider networks that provide a competitive advantage. + Align contracting strategy ... healthcare field and a minimum of 8 years of experience in healthcare operations, finance, underwriting, actuary, network development and/or sales; or any… more
- Humana (Niceville, FL)
- …Jackson, and Calhoun + 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience + Proven ... of our caring community and help us put health first** The Provider Engagement Professional 2 develops and grows positive, long-term relationships with physicians,… more
- Evolent (Tallahassee, FL)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... advisory panels + Own market level engagement strategy and collaborate with provider engagement market managers to ensure change management initiatives are… more
- Molina Healthcare (Orlando, FL)
- …system requirements of customers as it pertains to contracting (benefit and provider ), network management , credentialing, prior authorizations, fee ... business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage amount and benefit interpretation within the audit… more
- Humana (Tallahassee, FL)
- …years of progressive network management experience including hospital contracting and network administration in a healthcare company + 2 or more years of ... part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other … more
- Intermountain Health (Tallahassee, FL)
- …enrollment is completed timely and accurately. 3. Works in all phases of provider enrollment, re-enrollment and expirables management ensuring the timely and ... Equivalent Provider Enrollment Experience One year experience in a healthcare revenue cycle setting. **Preferred Qualifications** One year of experience working… more
- Elevance Health (Tampa, FL)
- …be reviewed based on historical results of other reviews with providers, network management input and dollar volume of provider . + Schedules review with ... itemized bills and provider contracts. + Conducts exit interview with provider management team by presenting preliminary review results. + Verifies dollar… more
- Ascension Health (Pensacola, FL)
- …sites of care and 7,000 providers strong, AMG is one of the largest healthcare provider networks in the United States. Physicians and advanced practice providers ... management of health conditions via referral to other healthcare providers or community resources. + Counsels and educates...Join Our Team** Ascension Sacred Heart is a leading provider of high-quality healthcare to children and… 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 ... also serve as a key liaison between Compliance, Legal, Network Contracting, and Provider Relations teams. **Required...+ A minimum of 2 years of experience in provider data management and contracting support. +… more