- 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 ... position is located in the Bureau of Medicaid Plan Management Operations (PMO). PMO is responsible for the primary...reports of claims and provider reimbursement issues/complaints to determine managed care plan compliance with contract… 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)
- … Care , Patient Financial services, health insurance claims processing, contract management , or medical economics Proficiency in understanding professional ... financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The... contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have… more
- The Cigna Group (Fort Lauderdale, 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 ... 3 days per week The **Manager, Provider Contracting Network Management ** serves as an integral member of the Provider...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… 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 ... appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract , network development and management , or project … more
- Veterans Affairs, Veterans Health Administration (Clermont, FL)
- …full-time Family Practice or Internal Medicine trained physicians to join our Primary Care Clinic team as a Primary Care Provider. This incumbent will ... be responsible to provide comprehensive specific care , under the Patient Aligned Care Team... Team (PACT) model, to a panel of patients managed under PCMM guidelines. The incumbent will be responsible… more
- Veterans Affairs, Veterans Health Administration (Daytona Beach, FL)
- …or Internal Medicine trained physician with recent experience in VA outpatient PACT panel management to join our Primary Care Clinic team as a Complex PACT ... certification) Malpractice: Free liability protection with tail coverage provided Contract : No Physician Employment Contract and no...care , under the PACT model and intensive case management to a panel of patients with complex chronic… more
- Grifols Shared Services North America, Inc (Gainesville, FL)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... services in more than 110 countries and regions. **Role and Responsibilities of a Bleeding Management KAM** **About the Role:** The KAM will play a vital role in the… 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
- Valor Health (Stuart, 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 Physician MD/DO Stuart, FL (http://maps.google.com/maps?q=3501+SE+Willoughby+Blvd+Stuart+FL+USA+34994) * Clinical - Physician Apply Job Type Full-time… more