- Cardinal Health (Tallahassee, FL)
- …that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing, and any other ... (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review,… more
- The Cigna Group (Tampa, FL)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... visit Providers 3 days per week The **Manager, Provider Contracting Network Management** serves as an integral member of...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Publix (Lakeland, FL)
- …Specialist serves as the subject-matter expert in the contracting process for the Managed Care Contracting Team in the Pharmacy Department. The ... **34227BR** **Position Title:** Managed Care Contract Support Specialist **Department:**... Contract Support Specialist is responsible for optimizing the contracting workflow and will collaborate with internal and external… more
- AdventHealth (Maitland, FL)
- …top-tier and mid-level tier payer contracts. Duties as assigned include leading strategic managed care contracting initiatives as directed by AdventHealth ... leadership; managed care contract review, interpretation and analysis, negotiation, reporting, implementation...overall contracting process by coordinating with other Managed Care teams and outside business units… more
- AdventHealth (Altamonte Springs, FL)
- …process improvement and reporting + Reviews denials data and trends and works with Managed Care contracting team and patient financial services to identify ... educating, informing and advising members of the Utilization Management, Care Management, Managed Care and...opportunities to address retrospective denials through the contracting process + Reviews key performance indicators and progress… 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 (Plant City, FL)
- …role. **Use your skills to make an impact** **Requirements:** + Progressive experience in managed care contracting and / or provider relations. + Excellent ... policies. + Microsoft Word, Power Point, and Excel + Progressive experience in managed care contracting and / or provider relations. + Bilingual English… more
- BayCare Health System (Tampa, FL)
- …will resolve errors and issues by coordinating with the plans, the CBO and the Managed Care contracting department. Why BayCare? Our network consists of 16 ... in Florida. Responsibilities + Responsible for initiating and maintaining credentialing, managed care provider enrollment and hospital privileges for BayCare… more
- AdventHealth (Maitland, FL)
- …in population health value-based care , risk-based payment models, commercial bundles and managed care contracting . . Ability to build and maintain ... programs and bundled payments. . Fosters effective collaboration between the PHSO, Managed Care , CIN providers, AH medical groups, Acute Care Services (ACS)… more
- HCA Healthcare (Ocala, FL)
- …+ Minimum of 1-3 years of experience preferred + Working knowledge of managed care contracting and modeling desired **Parallon** provides full-service ... Qualifications** Seeking a Contract Analyst, who is responsible for translating managed care terms and model relevant parameters in Concuity/Clear Contracts Calc… more