- AdventHealth (Maitland, FL)
- …leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. Ensures key stakeholders are ... within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the implementation… more
- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... by providing direction to external vendor or through internal reimbursement calculations. * Responsible for summarizing key contract...contract data elements which are populated into the Managed Care database including addition of new… more
- AdventHealth (Maitland, FL)
- …partners, vendors and leadership after identifying and quantifying the issue. Supports the Managed Care Contract Administration, AH Central Denials team, and ... Care and role related functions such as new government regulations and reimbursement methodologies. Supports AH Managed Care and AH Regional PFS… more
- AdventHealth (Maitland, FL)
- … contracts and related documentation. + Provides training and support to staff on managed care contract requirements and changes. + Facilitates open ... : Hybrid- 3 days onsite Maitland, FL **The role you will contribute:** The Managed Care Coordinator is a responsible member of a multi-disciplinary team. S/he… more
- 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...hours flexibility. Parental, caregiver, bereavement, and military leave. Family care services such as adoption and surrogacy reimbursement… more
- Molina Healthcare (St. Petersburg, FL)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.… more
- Pfizer (Tampa, FL)
- …product distribution channel from wholesaler to pharmacy to institutions and through managed care pharmaceutical benefit. + Able to anticipate and escalate ... **ROLE SUMMARY** The Contract Manager supports Pfizer by executing against ...experience. + Relevant work experience in the pharmaceutical industry, managed care , or contracting space is preferred.… more
- Highmark Health (Tallahassee, FL)
- …Healthcare, Healthcare Insurance, Consulting or related area + 3 years Value-based reimbursement , through managed care contracting, provider reimbursement ... This job supports the matrixed strategic design and analytical approach to reimbursement . To be successful, the incumbent will work closely with stakeholders across… more
- AdventHealth (Maitland, FL)
- …the analysis and evaluation of financial and economic data related to healthcare costs and managed care payer rates and reimbursement . The role focuses on ... including financial modeling and risk forecasting Evaluate and understand contract language as it relates to reimbursement ...that achieve net revenue targets developed by the Regional Managed Care Directors and Contract … more
- AdventHealth (Maitland, FL)
- …for analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates and reimbursement . The role focuses on ... Must be able to complete extensive and complex financial and operational analyses of managed care contracts and proposals, analyze fee schedules, and determine … more