- 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 the Provider Contracting Team and reports to the...of the Provider Contracting Team and reports to the AVP, ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- The Cigna Group (Sunrise, FL)
- …- will need to work in the office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider ... Contracting Team and reports to the Contracting Manager or Market Lead. This role...and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of… more
- Deloitte (Tampa, FL)
- …and contracting support for scope of work/SOW documents. + Provide guidance on contracting and negotiation strategies. Ensure cross-functional alignment ... and Risk Management (QRM) group is seeking a Risk Manager with extensive experience in supporting complex deals and...Responsibilities/Here is What You Will Do: Deal Desk Support, Contracting and Negotiations + Assist with deal desk and… more
- Molina Healthcare (Tampa, FL)
- **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider...education and experience **PREFERRED EXPERIENCE** : 3+ years in Provider Network contracting To all… more
- CVS Health (Tallahassee, FL)
- …with internal partners. * Evaluate, formulate, and implement the provider network strategic plan to achieve contracting targets and manage medical costs ... Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role,...care network negotiating skills. * 3+ years contracting for large facilities or provider groups.… more
- CVS Health (Tallahassee, FL)
- …and/or provider relations. - Strong understanding of health care network product spectrum and contracting methodologies including advanced knowledge of ... day. **Position Summary** We are searching for an experienced provider network professional to support our plan...candidate will serve as a subject matter expert on network related performance including contracting methodologies, … 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
- 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
- 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