• Contract Negotiator Senior

    AdventHealth (Maitland, FL)
    …managed care contracting initiatives as directed by AdventHealth leadership; managed care contract review, interpretation and analysis, negotiation, ... etc.) to preserve the integrity of those contracts. Shows full comprehension of managed care contract language for the betterment of the AdventHealth … more
    AdventHealth (08/07/25)
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  • Physician Contract Administration

    AdventHealth (Maitland, FL)
    …revenue. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... labor performance is not compromised. * Responsible for timely entry of contract data into the Managed Care database which includes addition of new payors,… more
    AdventHealth (08/26/25)
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  • Manager of Physician Contract…

    AdventHealth (Maitland, FL)
    …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... Enterprise leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. Ensures key stakeholders are… more
    AdventHealth (08/26/25)
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  • Senior Compliance Analyst

    AdventHealth (Maitland, FL)
    …or equivalent + The Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing, ... customer service and maintain relationships with clients who include AH Managed Care Directors, Contract Denial Specialists, other AdventHealth departments,… more
    AdventHealth (08/07/25)
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  • Medical/Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    …the medical or insurance field. Preference will be given to applicants with managed care and/or contract experience. LICENSURE, CERTIFICATION, OR ... a highly responsible professional position in the Certificate of Need & Commercial Managed Care Unit requiring the ability to function independently as well as a… more
    MyFlorida (08/28/25)
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  • Medical Economics Manager

    AdventHealth (Maitland, FL)
    …contractual payment term changes that achieve net revenue targets developed by the Regional Managed Care Directors and Contract negotiators Oversees the both ... payment term changes that achieve net revenue targets developed by the Regional Managed Care Directors and Contract negotiators + Oversees the both standard… more
    AdventHealth (08/19/25)
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  • Program Administrator - SES

    MyFlorida (Tampa, FL)
    …to: reviewing administrative policies, procedures, guidelines and related directives impacting a managed care plan contract 's compliance; evaluating ... contract compliance through oversight of managed care plan and dental plan activities; identifying potential compliance issues and problems; and recommending… more
    MyFlorida (08/16/25)
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  • Associate Director, Managed Care…

    Bristol Myers Squibb (Tampa, FL)
    …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...of contingent/portfolio agreements, legal requests, SOX compliance, deal analytics, contract performance analytics and ad hoc data analytics +… more
    Bristol Myers Squibb (08/28/25)
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  • Director, Government Pricing/ Managed…

    Bristol Myers Squibb (Tampa, FL)
    …for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, ... as all aspects with evaluating implications of and reporting Managed Care data required for US and...of contingent/portfolio agreements, legal requests, SOX compliance, deal analytics, contract performance analytics and ad hoc data analytics +… more
    Bristol Myers Squibb (08/29/25)
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  • Behavioral Health Nurse - Managed…

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    Position is On-Site The Behavioral Health Nurse - Managed Care is responsible for coordinating, monitoring, and delivering behavioral health services within a ... managed care environment. This role involves working...managed care environment. This role involves working closely with patients,...here do not create any implied or express employment contract between you and our company / our clients… more
    DOCTORS HEALTHCARE PLANS, INC. (08/24/25)
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