- Elevance Health (Lake Mary, FL)
- **Cost of Care/ Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/ Provider Contracting Data Analyst** is responsible for...improving the quality of care, and increasing member and provider network satisfaction. **How you will make… more
- Elevance Health (Tampa, FL)
- …a commuting distance from an office. **Position Overview:** Develops the provider network through contract negotiations, relationship development, and servicing. ... between professional providers and the company + Ensure that network composition includes an appropriate distribution of provider...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… 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 ... The role is responsible for overseeing pharmacy outreach, independent pharmacy contracting , compliance and issue resolution with pharmacies to ensure network… more
- Centene Corporation (Tallahassee, FL)
- …Three or more years of managed care or medical group experience, provider relations, quality improvement, claims, contracting , utilization management, or ... Purpose:** Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Engage with providers to align on … more
- Centene Corporation (Tallahassee, 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 (Miami, FL)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial ... payment and regulatory requirements related to state-mandated value-based programs. Supports Manager with contracting /re- contracting of VBCs, issue… more
- Elevance Health (Lake Mary, FL)
- …of Care Analyst Senior** provides analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** + Focuses ... improving the quality of care, and increasing member and provider network satisfaction. + Typically works with...standardized practices to optimize cost of care. + Educates provider contractors on contracting analytics from a… more
- CVS Health (Tallahassee, FL)
- …+ Contributes to the development and expansion of the healthcare organization's provider network by identifying and recruiting new providers who align ... and procedures, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and… more
- CenterWell (Tallahassee, FL)
- …Qualifications** + A minimum of three experience in Healthcare or managed care with Provider Contracting , Network Management or Provider Relations ... of our caring community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with physicians,… more
- Elevance Health (Altamonte Springs, FL)
- …i** s responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** + Focuses ... improving the quality of care, and increasing member and provider network satisfaction. + Provides expert advice,...with high dollar cost savings opportunities. + Partners with provider contractors to develop contracting strategy and… more