- Elevance Health (Lake Mary, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Cost of Care /Provider Contracting Data Analyst** **Location** : This role...develop contracting strategy and supports all aspects of the contract negotiation process. + Can work with multiple provider… more
- Elevance Health (Miami, FL)
- …+ Knowledge of medical management process and ability to interpret and apply member contracts , member benefits, and managed care products strongly preferred ... the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers,… more
- CenterWell (Tallahassee, FL)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims. The Medical Director,… more
- HCA Healthcare (Miramar, FL)
- …preferred. (ie ambulatory surgery center, hospital, doctors office) preferred + Knowledge of managed care payers and medical terminology is preferred Consider a ... team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is… 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
- University of Miami (Miami, FL)
- …drive; use existing systems/programs to effectively maintain records + Assist CME Manager in executing negotiated hotel contracts including room rates, ... the Division of CME and provides support for courses managed by the Division. The Senior Program Coordinator works...+ Under the guidance and supervision of the CME Manager , plan and coordinate Continuing Medical Education (CME) symposia… more
- Molina Healthcare (Tampa, FL)
- …new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified ... Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case… more
- Molina Healthcare (FL)
- …At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, ... health and other program activities in accordance with regulatory, contract standards and accreditation compliance. * Functions as a...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care … more
- Merck (Fort Lauderdale, FL)
- …key customers/personnel to understand practice structure, business model, key influencers Managed Care Organization (MCO), employers, state and local ... + Partners with National Account Executives (NAEs) to maintain strong focus on Managed Care pull-through + Shares learning and best-practices from one customer… more
- UMB Bank (Tallahassee, FL)
- …assessment and underwriting of new SBCRE (Small Balance Commercial Real Estate) managed investment loans (non-owner occupied CRE loans $1,000,000 to $5,000,000) in ... all of or portions of the credit packages (as agreed with the relationship manager ) for submission to credit committee for approval (new business and renewals) +… more