- 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
- Molina Healthcare (Jacksonville, FL)
- …equivalent combination of education and experience **Required Experience** + 4+ years managed care experience + Experience participating in value-based program & ... by supporting both the local markets and national value based contracting team. Ensures smooth communication, supports proposal and counter-proposal development,… more
- Cardinal Health (Tallahassee, FL)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing ... be focused on expanding the organization's strategic footprint and influence in value-based care contracting . Functioning as a strategic hunter, this Director is… more
- The Cigna Group (Tampa, FL)
- …+ Experience in developing and managing relationships. + Understanding and experience with managed care and provider business models a plus. + Team player ... and serves as an integral member of the Provider Contracting Team and reports to the Contracting ...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Molina Healthcare (FL)
- …field or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : Managed Care experience To all current Molina employees: If you are ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more
- Elevance Health (Tampa, FL)
- …or related field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the… more
- Ascendis Pharma (FL)
- …+ Serves as scientific resource at key medical, scientific, and other managed care -related conferences as assigned Contributes to Ascendis Pharma's Medical ... leveraging deep expertise in Pharmacoeconomics, real-world evidence generation, and value-based care solutions to function as a disease state, clinical, and health… more
- Humana (Tallahassee, FL)
- …impact** **Required Qualifications** + 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. ... community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- HCA Healthcare (Bradenton, 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
- Molina Healthcare (FL)
- …+ 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare ... discuss and resolve issues related to utilization management, pharmacy, quality of care , and correct coding, for example. + Independently delivers training and… more