- 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)
- …2-3 years of clinical nursing experience, including behavioral/mental health + Experience in a managed care , case management , or utilization review setting + ... Position is On-Site The Behavioral Health Nurse - Managed Care is responsible for coordinating,...accurate and timely documentation in electronic health records and care management platforms. + Identify and intervene… 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...behavioral health services as well as child welfare case management services for children, adolescents and adults whose needs… 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
- 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)
- …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
- 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 ... that achieve net revenue targets developed by the Regional Managed Care Directors and Contract ...Care , Patient Financial services, health insurance claims processing, contract management , or medical economics experience Proficiency… more
- MyFlorida (Tallahassee, FL)
- …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...more efficiently and effectively (which may include program analysis, management consulting, and examination development). This position is not… more
- AdventHealth (Maitland, FL)
- …or equivalent + The Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing, ... service and maintain relationships with clients who include AH Managed Care Directors, Contract Denial...ancillaries, etc.). + Ability to use data systems, and contract management software applications, clinical information and… more