- 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 (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
- MyFlorida (Tallahassee, FL)
- …analyzing results and findings and developing compliance actions as prescribed in the managed care contract (eg, corrective action plans, sanctions, ... with the Agency's contract managers responsible for the Medicaid managed care plan contract (s). The incumbent in this position maintains up-to-date… more
- 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… more
- AdventHealth (Altamonte Springs, FL)
- …and clinical departments * to keep them informed of any concerns related to managed care reimbursement and operational contract issues. * Ensures hospital ... position is responsible for managing the AdventHealth Multi-State Division Contract Management team. This team is responsible for ...other products, policies and procedures that would impact the Managed Care team relative to processes and… more
- Actalent (Sunrise, FL)
- …mental health providers, to manage care for all lines of business, including managed care contract programs that serve adults and children with severe ... + Care coordination + Chronic disease management + Plan of care management + Managed care experience + Medicaid knowledge + Needs assessment Additional… more
- 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
- Cardinal Health (Tallahassee, FL)
- …in defining, developing, and executing go-to-market strategies that drive engagement with Managed Care Organizations (MCOs), health plans, and payor networks. ... positioning, promotion, and lifecycle marketing. The ideal candidate brings expertise in the managed care landscape-paired with the ability to translate data and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …other projects, work, and activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not required + Part D Coverage ... to be submitted to the Pharmacy Benefit Manager, New Contract Year formulary evaluation, and rebate strategy evaluation. The...of, or currently enrolled in, residency program (PGY1) in managed care pharmacy, or pharmacy practice. +… more
- Elevance Health (Tampa, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract /Cost of Care Consultant** **Locations:** This role requires associates to be in-office **1-2** days per week, fostering collaboration and… more
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