- Publix (Lakeland, FL)
- **34227BR** **Position Title:** Managed Care Contract Support Specialist **Department:** Pharmacy **Location:** Lakeland, FL **Description:** If you want to ... that plays a pivotal role in the success of Publix Pharmacy and the Managed Care Contract Support Specialist serves as the subject-matter expert in the… more
- 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
- 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 (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
- Intermountain Health (Tallahassee, FL)
- …in a complex invoice/billing/reconciliation environment, preferred- Extensive knowledge of managed care contract interpretation **Physical Requirements** ... payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. + Log findings and provides feedback… more
- 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
- 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
- MyFlorida (Fort Lauderdale, FL)
- …Medicaid managed care claim complaints and determining managed care compliance with the SMMC contract as it relates to claims processing. Examples ... Analyzes programmatic reports of claims and provider reimbursement issues/complaints to determine managed care plan compliance with contract provisions.… 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