- 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)
- …other projects, work, and activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not required + Part D Coverage ... be responsible for all aspects of Formulary maintenance and management . The Clinical Pharmacist may also be required to...of, or currently enrolled in, residency program (PGY1) in managed care pharmacy, or pharmacy practice. +… 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
- 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...other products, policies and procedures that would impact the Managed Care team relative to processes and… more
- AdventHealth (Maitland, FL)
- …managed care contracting initiatives as directed by AdventHealth leadership; managed care contract review, interpretation and analysis, negotiation, ... the integrity of those contracts. Shows full comprehension of managed care contract language for...management , and other related issues through application of managed care expertise, ongoing regular job duties,… 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; ... building and maintenance of rates and terms into designated contract management systems for Florida and multi-state...is not compromised. * Responsible for timely entry of contract data into the Managed Care… 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...advice, analytic and consultative support to Medical Directors and management on cost of care issues. Works… more
- AdventHealth (Maitland, FL)
- …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... building and maintenance of rates and terms into designated contract management systems for physician and ancillary...to keep them informed of any concerns related to managed care reimbursement and operational contract… more
- CDM Smith (Miami, FL)
- …systems that reflect community needs. Our value-added program management , best-in-class design-build expertise, and unparalleled sustainability and economic ... Department of Transportation and Public Works has awarded our team the contract to provide Construction Engineering and Inspection services for the new South-Dade… more
- MyFlorida (Tallahassee, FL)
- …analyzing results and findings and developing compliance actions as prescribed in the managed care contract (eg, corrective action plans, sanctions, ... position is located in the Bureau of Medicaid Plan Management Operations (PMO). PMO is responsible for the primary...Agency's contract managers responsible for the Medicaid managed care plan contract (s). The… more