- BD (Becton, Dickinson and Company) (Stuart, FL)
- …and is responsible for the establishment, development and execution of the payor, managed care , and payer contracting medical policy initiatives in collaboration ... The individual will also have direct supervision of the contract administration staff and lead all aspects of vendor...+ Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best… more
- Merck (Tallahassee, FL)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... Customer Strategy, Health Economics, Immunizations, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, Medical Affairs, Product… more
- The Cigna Group (Tampa, FL)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- AdventHealth (Altamonte Springs, FL)
- …requirements. + Supports the overall mission of AdventHealth and the role of the Managed Care department in that mission. + Supports the contracting team, ... for each position may vary based on geographical location. **Category:** Managed Care **Organization:** AdventHealth Corporate **Schedule:** Full-time **Shift:**… more
- Elevance Health (Tampa, FL)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... group. Provides advice and analytic support to Medical Directors, contract negotiators and management on cost of care... contract negotiators and management on cost of care issues to help reduce costs without compromising quality… more
- Evolent (Tallahassee, FL)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... sales with long cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers and risk-bearing organizations)… more
- University of Miami (Miami, FL)
- …RFP (Request For Proposal) creation, site selection and recommendations, conduct contract negotiations, vendor selection, food and beverage selection, oversight of ... and post-meeting wrap-up (ie, bill reconciliation, debrief, etc.) for various CME- Managed courses. The individual collaborates with the course directors and Division… more
- Prime Therapeutics (Tallahassee, FL)
- …work experience, including 12 years of experience as an attorney and 5 years representing managed care companies, health care clients, or clients in highly ... HIPAA, Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed care operations + Experience engaging with regulatory bodies (eg, CMS, OIG,… more
- Mass Markets (FL)
- …project delivery. Partner with marketing, product, and operations teams to deliver contract -winning solutions. CANDIDATE QUALIFICATIONS WONDER IF YOU ARE A GOOD FIT ... BPO services, consulting, or software solutions. + Proven success in selling managed services, system integration, and technology products. + Familiarity with market… more
- BayCare Health System (Clearwater, FL)
- …services. Maintain proper documentation in Soarian or GE systems. Work closely with Managed Care and understands health insurances rule sets, manuals, and ... contract language. **Why BayCare?** Our network consists of 16...- 1 year of Healthcare Business Office and /or Managed Care experience Equal Opportunity Employer Veterans/Disabled… more
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