- 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 ... Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic...This role assists in developing the strategic direction and management of the day to day contracting and network… more
- Sharecare (Tallahassee, FL)
- …candidate will have excellent client management and relationship building skills. The Provider Sales Manager will serve as a trusted advisor and subject ... the time. Provider Solutions is looking for a strong, dynamic and experienced Provider Sales Manager to expand business throughout the United States. The … more
- Centene Corporation (Orlando, FL)
- … provider claim issues and changes + Initiate data entry of provider -related demographic information changes + Educate providers regarding policies and ... + Manages Network performance for assigned territory through a consultative/account management approach + Evaluates provider performance and develops strategic… more
- Molina Healthcare (Miami, FL)
- …is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ... requirements of internal customers as it pertains to other provider network management areas, such as ...pertaining to department functions. * Produces reports related to provider network information . * Collaborates with local… more
- CVS Health (Tallahassee, FL)
- …as part of a cross functional team of clinicians and analysts that provide consultative information and create custom solutions for commercial Plan Sponsors. ... - Must have strong knowledge of claim coding (CPT/DRG, etc.), provider networks, benefit designs, healthcare products/funding, medical management programs… more
- AssistRx (Orlando, FL)
- Under the direction of the chief growth officer, the senior manager of provider solutions will lead a high-performing sales team focused on supporting and ... (HCPs). This individual will oversee both the account executives and provider solutions specialists, driving platform adoption and engagement, managing operational… more
- Ascension Health (Middleburg, FL)
- …implement initiatives for pipeline development including gathering and providing information on the organization's services, specialists, primary care physicians and ... job specific experience required. + 3 years of leadership or management experience preferred. **Additional Preferences** + Comfortable presenting to leadership and… 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 ... service with physicians and ancillaries. + Supports the development and management of value-based relationships. + Builds and maintains relationships that nurture… more
- Elevance Health (Tampa, FL)
- …itemized bills and provider contracts. + Conducts exit interview with provider management team by presenting preliminary review results. + Verifies dollar ... to be reviewed based on historical results of other reviews with providers, network management input and dollar volume of provider . + Schedules review with … more
- Elevance Health (Tampa, FL)
- …all network management functions within the specified region. + Develops provider networks that provide a competitive advantage. + Align contracting strategy ... offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty programs… more