- 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
- 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
- Devereux Advanced Behavioral Health (Orlando, FL)
- **Description** _Are you a Contracts and Managed Care Professional looking for a great company with a great mission and culture? Then consider joining Devereux ... Florida as a Finance Analyst (Contracts / Managed Care )!_ Devereux provides mental and behavioral...and conduct audit reviews for MMAs. + Coordinate with contract representatives and network providers to resolve claims issues.… more
- United Therapeutics (Tallahassee, FL)
- …pharmaceutical, healthcare, and/or broadened industry experience with focus in reimbursement, contract strategy, managed care , sales/marketing or related ... pharmaceutical, healthcare, and/or broadened industry experience with focus in reimbursement, contract strategy, managed care , sales/marketing or related… more
- CDM Smith (Miami, FL)
- …Department of Transportation and Public Works has awarded our team the contract to provide Construction Engineering and Inspection services for the new South-Dade ... contractor's submittals for completeness, accuracy, and compliance with construction contract documents. Drafting documents for possible construction contract … more
- MyFlorida (Tallahassee, FL)
- …Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid ... Managed Care (SMMC) program. The bureau's primary...Organization. * One (1) year of experience working with contract -related activities (eg monitoring receipt of deliverables, compliance, and… more
- AdventHealth (Maitland, FL)
- …analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on financial ... Must be able to complete extensive and complex financial and operational analyses of managed care contracts and proposals, analyze fee schedules, and determine … more
- Molina Healthcare (FL)
- …+ 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare ... and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting...experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider … more
- Valor Health (Fort Pierce, FL)
- …the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of ... Primary Care Nurse Practitioner NP Fort Pierce, FL (http://maps.google.com/maps?q=1901+South+25th+Street+Fort+Pierce+FL+USA+34947) * Clinical - Nurse Practitioner… more
- Veterans Affairs, Veterans Health Administration (Viera, FL)
- …VA Healthcare System's Ambulatory Service is seeking an experienced and dynamic Primary Care Physician. Ideal applicants are those who want to contribute to the ... achievement of quality care standards, as well as the growth and development...certification) Malpractice: Free liability protection with tail coverage provided Contract : No Physician Employment Contract and no… more
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