- Cardinal Health (Tallahassee, FL)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, ... between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing,...any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for… more
- The Cigna Group (Tampa, FL)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... office or visit Providers 3 days per week The ** Manager , Provider Contracting Network Management** serves as...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- The Cigna Group (Sunrise, FL)
- …as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day ... contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages...developing and managing relationships + Understanding and experience with managed care , and provider business models a… 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 ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct… more
- Grifols Shared Services North America, Inc (Gainesville, FL)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... would be available to provide any necessary support to the responsible National Account Manager (NAM) in the execution of the contracting process + Understand… more
- Molina Healthcare (Miami, FL)
- …equivalent combination of education and experience **Required Experience** * 5-7 years managed care experience, including min. 2 years of supervisory experience ... Association** N/A **Preferred Education** Bachelor's Degree **Preferred Experience** * 7+ years managed care experience * QNXT; SQL experience * Crystal Reports… more
- Centene Corporation (New Port Richey, 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...claims, contracting utilization management, or clinical operations. Project management experience… 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...claims, contracting utilization management, or clinical operations. Project management experience… more
- AdventHealth (Maitland, FL)
- …contract requirements. + Supports the overall mission of AdventHealth and the role of the Managed Care department in that mission. + Supports the contracting ... for each position may vary based on geographical location. **Category:** Managed Care **Organization:** AdventHealth Corporate **Schedule:** Full-time **Shift:**… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …LMS, and is responsible for the establishment, development and execution of the payor, managed care , and payer contracting medical policy initiatives in ... + Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best...fee-for-service and rental reimbursement methodology as applicable to manage care contracting , various market rates and tactics… more