- The Cigna Group (Sunrise, FL)
- …lieu of a bachelor's degree **.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... The **Provider Contracting Manager** serves as an integral member of...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Cardinal Health (Tallahassee, FL)
- …-National Accounts is responsible for regional retail (chain) pharmacy accounts from a managed care contracting perspective. The primary purpose of this ... relationships with national account (regional retail chain pharmacy) customers regarding managed care contracting + Take ownership of customer issues and… more
- Highmark Health (Tallahassee, FL)
- …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population ... drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark Health… more
- CenterWell (Orlando, FL)
- …1+ years of supervisory/leadership experience in a healthcare setting + Progressive experience in managed care contracting and / or provider relations + ... directing of professional and support personnel who provide outpatient care to patients in a clinical setting. The Center...procedures for the facility and works closely with the care team to ensure optimal patient outcomes. Decisions typically… more
- Akumin (Fort Lauderdale, FL)
- …managing same-store growth and logistics optimization. Responsible on a national level for managed care contracting as well as various projects of ... compliance, quality and safety programs; ensuring the highest standards of patient care . Includes; ACR, JCAHO, OSHPOD, DHS, DH, etc. **Position Requirements:** +… more
- Elevance Health (Lake Mary, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Cost of Care /Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and… more
- Elevance Health (Tampa, FL)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Cost of Care /Provider Contracting Data Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration… more
- Humana (Tallahassee, FL)
- …**Required Qualifications** + 2+ years of experience in negotiating or servicing managed care contracts + Understanding of contract terms, payment structures ... community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital,...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Prime Therapeutics (Tallahassee, FL)
- …healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting Must be eligible to ... kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of… more
- Molina Healthcare (Miami, FL)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy...large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider… more