- Elevance Health (Tampa, FL)
- …within a commuting distance from an office. **Position Overview:** Develops the provider network through contract negotiations, relationship development, and ... communication link between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider specialties… more
- Elevance Health (Lake Mary, FL)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Provider Contract Cost of Care Analyst Senior**...improving the quality of care, and increasing member and provider network satisfaction. + Typically works with… more
- Molina Healthcare (St. Petersburg, FL)
- …region. + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on ... effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates high priority physician… more
- Centene Corporation (Tallahassee, FL)
- …Purpose:** Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Engage with providers to align on ... network performance opportunities and solutions, and consultative account management...and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. Participate in… more
- Prime Therapeutics (Tallahassee, FL)
- …purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager ... pharmacy contracting, compliance and issue resolution with pharmacies to ensure network integrity, service quality, and cost-effectiveness. The role is also… more
- Centene Corporation (Tallahassee, 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
- Sedgwick (Tallahassee, FL)
- …be considered in lieu of a degree. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent combination of ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Contract Manager II **PRIMARY PURPOSE** : To...administers provider contracts. + Develops and expands provider participation within the network . + Documents… more
- Elevance Health (Lake Mary, FL)
- …on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. **How you will make an impact:** + Provides ... aspects of the contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals. + Supports a full… more
- Molina Healthcare (Miami, FL)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. *… more
- TEKsystems (Tampa, FL)
- …with providers, maintaining accountability for issue closure and satisfaction . Support manager in identifying trends in provider inquiries and escalate systemic ... Description The Provider Customer Service Associate is a key resource...teams such as Billing, Medical Bill Review, Finance, and Network Services. The Associate is accountable for thorough documentation,… more