- Merck & Co. (FL)
- …with cross-functional peers to rally internal resources that meet customer needs, provide value, and retain our company's industry position. The Strategic Accounts ... business planning capabilities with the outcome of maximizing sales performance within the assigned geography Operational Responsibilities may include, but… more
- CVS Health (Tallahassee, FL)
- …heart, each and every day. Implements Vale Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads dispute ... stakeholders, executives, and network providers. + Monitors and evaluates provider performance metrics, such as quality indicators, patient satisfaction… more
- CVS Health (Tallahassee, FL)
- …Data Interchange (EDI), practice management software, etc. + Prior experience with Provider Network functions / processes and market dynamics. + Working ... Provider Operations organization provides foundational operational / enabling support for provider partners and the Network teams that directly interact with… more
- Datavant (Tallahassee, FL)
- …experiences to realize our bold vision for healthcare. **Role Summary:** The Zone Manager , Provider Privacy will provide operational oversight and leadership ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...to maintain alignment on privacy and compliance initiatives. + Provide zone-level performance metrics and updates to… more
- Capgemini (Orlando, FL)
- …innovation Performance Monitoring and Analysis: Oversee the monitoring of network performance metrics, identify bottlenecks, and troubleshoot issues to ... **Job Title** : Sr. Manager - Network Monitoring Tool SME...to learn from experienced colleagues. Generate regular reports on network performance , communicate findings to stakeholders, and… more
- CVS Health (Tallahassee, FL)
- …collaboration with internal partners. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage ... of spend providers with significant financial implications. + Manages contract performance and drives the development and implementation of value-based contract… more
- Herc Rentals (Bonita Springs, FL)
- Network Manager Location: Bonita Springs, FL,...the team to provide stable operation, high performance , and availability of the core network ... budget + Monitor and report on network and voice system performance , and provide status to management + Serve as the primary escalation point for operational… more
- Molina Healthcare (Miami, FL)
- …and producing as required to engage with provider and facilitate VBC performance . * Supports VBC network throughout the state to include onboarding VBC ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...strategy and development with respect to financial and operational performance , in alignment with Molina Healthcare's overall mission, core… more
- BayCare Health System (FL)
- …to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health ... vary) + **Days:** Monday - Friday The Credentialing and Provider Enrollment Specialist Senior will work in a remote...issues and trends in quality measures and Credentialing Specialist performance and reports that information to the Supervisor and… more
- Humana (Tallahassee, FL)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat… more
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