- Centene Corporation (New Port Richey, FL)
- …experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Molina Healthcare (Orlando, FL)
- …limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting . * Identifies issues, resolves problems ... **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate...the accurate and timely validation and maintenance of critical provider information on all claims and provider … more
- Centene Corporation (Orlando, FL)
- …experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Elevance Health (Tampa, FL)
- …functions within the specified region. + Develops provider networks that provide a competitive advantage. + Align contracting strategy with internal/external ... Provider Solutions provides strategic leadership in shaping and optimizing the provider experience, engagement and contracting for Behavioral Health business… more
- The Cigna Group (Lake Mary, FL)
- …Analyst works closely with the Manager - Strategic Pricing and Contracting , to provide business support to Matrix GPO (Group Participating Organization) ... through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload...._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- AECOM (Tampa, FL)
- …include but are not limited to: + Perform the roles of a Project Manager such as maintaining client relationships, contracting , project planning and execution, ... AECOM is seeking a highly talented Dams Engineering Project Manager to join the East Region Dams Team. This...projects related to dams and other hydraulic structures. + Provide technical support for projects including analyses, design, Potential… more
- TekSynap (FL)
- …a group of task orders affecting the same system. + Assist the Program Manager in coordination with the Government Contracting Officer (KO), task order-level ... and Advisor in IT and Telecommunications Engineering Design and Implementation. + Provide specialized focus on Inside Plant (ISP) and Outside Plant (OSP)… more
- Molina Healthcare (Jacksonville, FL)
- …accordance with local Health Plan requirements * Works with Claims, Configuration, Contracting , Provider Data Management, and other business partners to resolve ... for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and… more
- CVS Health (Tallahassee, FL)
- …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct...proficient managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups.… more
- Deloitte (Miami, FL)
- … review of scope of work/SOW documents and related schedules. + Provide guidance on contracting and negotiation strategies. Ensure cross-functional alignment ... Quality and Risk Management group is seeking a Risk Manager to join the Consumer Industry Risk Management team....Responsibilities/Here is What You Will Do: Deal Desk Support, Contracting and Negotiations + Assist with deal desk and… more