- The Cigna Group (Fort Lauderdale, FL)
- …will need to work in the office or visit Providers 3 days per week The ** Manager , Provider Contracting Network Management** serves as an integral member of ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Elevance Health (Tampa, FL)
- ** Provider Contract /Cost of Care Consultant** **Locations:** This role requires associates to be in-office **1-2** days per week, fostering collaboration and ... This position is not eligible for current or future VISA sponsorship._ The ** Provider Contract /Cost of Care Consultant** provides analytical support to the Cost… more
- Molina Healthcare (St. Petersburg, FL)
- …that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider… more
- CVS Health (Tallahassee, FL)
- …Promote collaboration with internal partners. * Evaluate, formulate, and implement the provider network strategic plan to achieve contracting targets and manage ... in your next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct… more
- Centene Corporation (Orlando, FL)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for… more
- Centene Corporation (New Port Richey, FL)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for… more
- TECO Energy (Ybor City, FL)
- **Title:** Manager Network Technology **Company:** Tampa Electric Company **State and City:** Florida - Ybor City **Shift:** 8 Hr. X 5 Days The Mgr Network ... requirements regardless of disability.** **Nearest Major Market:** Tampa **Job Segment:** Network , Cisco, Computer Science, Information Technology, IT Manager ,… more
- The Cigna Group (Sunrise, FL)
- …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 submission process...+ Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. +… more
- Highmark Health (Tallahassee, FL)
- …sales and customer service to respond to client/broker/member inquiries regarding provider contract , claim/member issues or provider file/record/directory ... assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial… more
- Pearl Interactive Network (Tallahassee, FL)
- …Interactive Network ** is seeking an experienced and results-oriented **Program Manager ** to oversee the planning, execution, and delivery of complex programs ... supporting our clients and internal operations. The **Program Manager ** (PM) coordinates and monitors the scheduling, pricing, and technical performance of company… more