- MyFlorida (Tallahassee, FL)
- …a real difference in our Division. Your Specific Responsibilities: Serve as the lead contract manager providing technical assistance and training to contract ... multiple projects and deadlines. Required Qualifications: + Current Florida Certified Contract Manager (FCCM) Certification Preferred Qualifications + Current… more
- Centene Corporation (Orlando, FL)
- …Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve… more
- Mass Markets (FL)
- …applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, ... Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal &… more
- Mass Markets (FL)
- …applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, ... Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal &… more
- ChenMed (Miami, FL)
- …point of contact for ChenMed's sales strategy and overall growth performance with Medicare managed care plan executives, including both Value Based Care and ... incumbent will support market business plans by aligning membership growth goals with contracted managed care plans. The person in this role will work closely… more
- The Cigna Group (Sunrise, FL)
- …+ Experience in developing and managing relationships + Understanding and experience with managed care , and provider business models a plus + Team player ... the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports...Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. + Creates… more
- Veterans Affairs, Veterans Health Administration (The Villages, FL)
- …psychiatrist, nurse, social worker, admin support staff, ensuring a smooth continuum of care for Veterans in clinic. The Program Manager , MHC, will be ... incentive may be offered to highly qualified candidate(s). The Social Worker (Program Manager ) functions as the Mental Health Clinic Chief within the Mental Health… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …and is responsible for the establishment, development and execution of the payor, managed care , and payer contracting medical policy initiatives in collaboration ... The individual will also have direct supervision of the contract administration staff and lead all aspects of vendor...+ Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best… more
- Molina Healthcare (St. Petersburg, FL)
- …adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either ... or underpayment. + Utilize QNXT to research claims history, provider contract setup, and benefits configuration. + Work cross-functionally with Configuration,… more
- HCA Healthcare (Sarasota, FL)
- …preferred. (ie ambulatory surgery center, hospital, doctors office) preferred + Knowledge of managed care payers and medical terminology is preferred Consider a ... we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Collections Specialist today with Surgery… more
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