- Sumitomo Pharma (Tallahassee, FL)
- …dynamic, highly motivated, and experienced individual for the position of Sr. Manager , Medicaid Contract Administration. This position is responsible for ... managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting ...+ Interact with internal departments (Internal Audit, Commercial Insights, Contracting , SOX Compliance, and Legal) to clarify policy compliance… more
- CVS Health (Tallahassee, FL)
- …Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews and ... contracts and value-based relationships. Role is for national behavioral health contracting and strategic partnerships** Key deliverables in this role include: *… more
- CVS Health (Homestead, FL)
- …relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures, plan design, contract language, service, claims or ... contract coordination. + Performs credentialing support activities as needed. + Educates Medicaid providers as needed to ensure compliance with contract policies and… 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 respect to ... result in high quality, cost effective and marketable providers. Contract/Re- contracting with large scale entities involving custom reimbursement. Executes… more
- Humana (Ocala, FL)
- …a part of our caring community and help us put health first** Our Senior Manager , MarketPoint Sales motivates and drives a team of Medicare Sales Field Agents who ... Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more. The Senior Manager , MarketPoint Sales will supervise Medicare Sales Field Agents dedicated to… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager of LMS, and is responsible for the establishment, development and execution of ... the payor, managed care, and payer contracting medical policy initiatives in collaboration with BD's market...to ensure optimal coverage and maximize reimbursement from Commercial, Medicaid and Medicare plans. The individual will also have… more
- Molina Healthcare (Jacksonville, FL)
- …standards and requirements established by the Centers for Medicare and Medicaid . **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of the ... with local Health Plan requirements * Works with Claims, Configuration, Contracting , Provider Data Management, and other business partners to resolve provider… more