- Cardinal Health (Tallahassee, FL)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... contract retention and administrative tracking of all various managed care payors. Advances company payor strategy...In collaboration with the Director of Managed Care , negotiate and manage assigned contracts , including… more
- Molina Healthcare (St. Petersburg, FL)
- …knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider contracts including ... Relationship Contracts . * Develops and maintains provider contracts in contract management software. * Targets...care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- AdventHealth (Altamonte Springs, FL)
- …and clinical departments * to keep them informed of any concerns related to managed care reimbursement and operational contract issues. * Ensures hospital ... building and maintenance of rates and terms into multiple contract management systems for hospital and ancillary contracts...other products, policies and procedures that would impact the Managed Care team relative to processes and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …other projects, work, and activities as assigned by the Pharmacy Director Qualifications: + Managed Care experience preferred, but not required + Part D Coverage ... and coding to be submitted to the Pharmacy Benefit Manager , New Contract Year formulary evaluation, and...of, or currently enrolled in, residency program (PGY1) in managed care pharmacy, or pharmacy practice. +… more
- AdventHealth (Maitland, FL)
- …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... building and maintenance of rates and terms into designated contract management systems for physician and ancillary contracts...to keep them informed of any concerns related to managed care reimbursement and operational contract… more
- RTX Corporation (St. Petersburg, FL)
- …a security clearance **Security Clearance:** DoD Clearance: Secret **Raytheon Company, managed by Collins Aerospace** Join the Collins Aerospace Mission Systems ... team as a Principal Contracts Specialist within the Advanced Networking Solutions (ANS) Program,...the team, you will contribute to all aspects of contract administration, including business pursuits, proposal preparation, contract… more
- CVS Health (Tallahassee, FL)
- …**Required Qualifications** + Minimum 3+ years related experience, proven and proficient managed care network negotiating skills. + Proven working knowledge of ... we do it all with heart, each and every day. **Position Summary** The Contract Negotiation Manager will negotiate and execute high-level review and analysis,… more
- CDM Smith (Miami, FL)
- …performed by the construction contractors. **Job Title:** Construction Representative 4 ( Contract Compliance Manager ) **Group:** CEI **Employment Type:** Regular ... Transportation and Public Works has awarded our team the contract to provide Construction Engineering and Inspection services for...Where it's a priority that the company takes good care of you and your family. Our employees are… more
- Elevance Health (Tampa, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract /Cost of Care Consultant** **Locations:** This...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Prime Therapeutics (Tallahassee, FL)
- …experience in clinical operations, quality, network, pharmacy or project management OR a managed care pharmacy residency. + Proven ability to plan, organize, ... every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative...account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed , and EBIDTA… more
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