- Publix (Lakeland, FL)
- **34227BR** **Position Title:** Managed Care Contract Support Specialist **Department:** Pharmacy **Location:** Lakeland, FL **Description:** If you want ... pivotal role in the success of Publix Pharmacy and the Managed Care Contract Support Specialist serves as the subject-matter expert in the contracting… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …for children, adolescents and adults whose needs are extra ordinary. As a Contracts / Managed Care Specialist , you will: + Distribute monthly rosters to ... **Description** _Are you a Contracts and Managed Care Professional looking for a...and conduct audit reviews for MMAs. + Coordinate with contract representatives and network providers to resolve claims issues.… more
- Intermountain Health (Tallahassee, FL)
- …in a complex invoice/billing/reconciliation environment, preferred- Extensive knowledge of managed care contract interpretation **Physical Requirements** ... payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. + Log findings and provides feedback… 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 ... + Preferred - 1 year of Healthcare Business Office and /or Managed Care experience Equal Opportunity Employer Veterans/Disabled **Position** Central… more
- Pfizer (Tampa, FL)
- …key thought leaders or high influence customers in hospitals, large group practices, or managed care organizations; OR an associate's degree with 4+ years of ... compliance, your contribution will directly impact patients. The Biosimilars Sales Specialist (BSS) will have a variety of responsibilities, ranging from… 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
- Mass Markets (FL)
- …partner in the industry. We are seeking a detail-oriented and analytical Quality Assurance Specialist to join our team. This role is critical in ensuring the highest ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Mass Markets (FL)
- …a trusted partner in the industry. We are seeking a dynamic and experienced Training Specialist to join our team. This role is critical in ensuring that new hire ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… 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
- Molina Healthcare (Tampa, FL)
- …**X** **PE** **R** **I** **E** **N** **C** **E:** + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health ... Responsible for meeting production standards set by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting… more