- Molina Healthcare (FL)
- …ideally in negotiating different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed ... States _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- Humana (Tallahassee, FL)
- … Contracting Professional who initiates, negotiates, and executes physician, hospital , and other provider contracts and agreements related to Medicaid health ... plans. The Provider Contracting Professional work assignments are varied and frequently require...determination of the appropriate courses of action. The Provider Contracting Professional responsibilities include (but not limited to): +… more
- Molina Healthcare (Miami, FL)
- …market needs and tailored for Medicaid, Medicare, and Marketplace populations. + Develop contracting frameworks that are inclusive and attractive to a broad array of ... provider types, including FQHCs, BH providers, LTSS agencies, and hospital systems. + Integrate social determinants of health (SDOH) and health equity principles… more
- University of Miami (Medley, FL)
- …managed care contracting process. + Oversees implementation stages of the hospital and physician managed care contracting process. + Directs auditing process ... development areas and functions, including Managed Care Strategic Planning, Contracting and Negotiations Management, Operations and Contract Implementation, Provider… more
- Cardinal Health (Tallahassee, FL)
- …Understanding of future reimbursement trends and directly related experience in risk contracting for hospital and physician services. + Excellent communication ... members, and innovation + Develops and implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible… more
- Intermountain Health (Tallahassee, FL)
- **Job Description:** This position collaborates with the Physician Contracting Services Director, Legal Counsel, operational leadership, and other Physician ... Contracting Managers and staff in the development, review, and...computer, telephone, or other equipment. **Location:** St. Marys Regional Hospital **Work City:** Grand Junction **Work State:** Colorado **Scheduled… more
- AdventHealth (Maitland, FL)
- …payer contracts. Duties as assigned include leading strategic managed care contracting initiatives as directed by AdventHealth leadership; managed care contract ... payers by leading in strong working relationships with department staff, various hospital and provider staff, and leadership at all AdventHealth Florida markets,… more
- Molina Healthcare (Jacksonville, FL)
- …in the successful development of the provider network, including development, contracting and management of provider relationships and communications. Manages a team ... or type of contract, such as fee for service or value-based contracting . **Knowledge/Skills/Abilities** * Leads the market's strategy and planning in the successful… more
- Humana (Tallahassee, FL)
- … Contracting Professional 2 initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an organization that ... provides health insurance. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent determination of… more
- HCA Healthcare (Tallahassee, FL)
- …are looking for a Chief Medical Officer for our HCA Florida Capital Hospital team where excellence creates excellence. **Benefits** HCA Florida Capital Hospital , ... spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal… more