- Humana (Niceville, FL)
- …Jackson, and Calhoun + 1 - 5 years of Health care or managed care with Provider Contracting , Network Management or Provider Relations experience ... + Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance + Comprehensive knowledge… more
- Bristol Myers Squibb (Tampa, FL)
- …the latest government contracting and reporting requirements, and ensure Managed Care government pricing calculation implications are identified and ... for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments,… more
- Bristol Myers Squibb (Tampa, FL)
- …the latest government contracting and reporting requirements, and ensure Managed Care government pricing calculation implications are identified and ... leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D...ability to think strategically about the impact of various contracting approaches and government regulations + Firm understanding of… more
- CVS Health (Tallahassee, FL)
- …Medicaid knowledge * 5+ years related experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for large facilities ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… 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 ... implement network initiatives by facilitating and performing network analyses, contracting activities and fee schedule development aligning with strategy, priorities… more
- Caris Life Sciences (Tallahassee, FL)
- …policy coverage initiatives and contracting strategies within assigned regional managed care organization(s), and employer groups (employee benefit plans). ... Responsible for obtaining positive payer coverage policies, securing in-network contracting and maximizing reimbursement while minimizing access barriers for...+ Stay up to date on trends in the managed care market and develop strategy with… 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 ... in negotiating different provider contract types, ie, physician, group and hospital contracting , etc. + Working familiarity with various managed healthcare… more
- AdventHealth (Maitland, FL)
- …Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; governmental ... strong working relationship with AdventHealth Florida and Multi-state Division leadership, Managed Care Reimbursement team, Regional Revenue Cycle leadership,… more
- HCA Healthcare (Port St. Lucie, FL)
- …+ Provides medical consultation on contracting , pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, ... regarding delegated utilization management and disease management operations under managed care contracts. Meets all regulatory/contractual/accreditation requirements… more
- Evolent (Tallahassee, FL)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers...for healthcare and subscribed to the vision of value-based care + Strong familiarity with risk-based contracting … more