- Molina Healthcare (FL)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Healthcare and contracted provider network . They are responsible for … more
- Cardinal Health (Tallahassee, FL)
- …organization. **_Responsibilities:_** + Maintain up to date credentials for entire network of participating health plans + Cultivate and maintain on-going payer ... updates when required + Report results and outcomes of network status to management at regular intervals + Respond...third party/managed care requests in a timely manner + Provide existing customers and third-party vendors with the best… more
- CVS Health (Tallahassee, FL)
- …meeting. **Required Qualifications:** + 2 years healthcare industry experience specifically in provider relations or network experience. + Organizational ... day. **NEF Team Role and Responsibilities:** + Handles escalations submitted by Aetna Network Account Management team or the Aetna Provider Contact Center.… more
- BayCare Health System (Tampa, FL)
- …meeting **s** within the Tampa Bay area. **Your Role Within the Team** + Provide direct support on employee relations and performance issues + Lead workplace ... to be one of the largest employers in the Tampa Bay area. Our network includes 16 community-based hospitals, a long-term acute care facility, home health services,… more
- Prime Therapeutics (Tallahassee, FL)
- …passion and drives every decision we make. **Job Posting Title** Consultant Relations Principal - Remote **Job Description** The Consultant Relations Principal ... improved win rates, and greater account retention. **Responsibilities** + Network , establish and maintain trusted, strategic partnerships, with key customers,… more
- Mayo Clinic (Jacksonville, FL)
- **Why Mayo Clinic** Mayo Clinic is top-ranked in more specialties than any other care provider according to US News & World Report. As we work together to put the ... or reimbursement account for flexible coverage. + Vision: Affordable plan with national network . + Pre-Tax Savings: HSA and FSAs for eligible expenses. + Retirement:… more
- Prime Therapeutics (Tallahassee, FL)
- …a strong positive working relationship with leadership in many areas, including Sales, Network Management, Trade Relations , and Client Engagement, as well as ... and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- CVS Health (Tallahassee, FL)
- …direct industry experience negotiating provider contracts and/or provider relations . - Strong understanding of health care network product spectrum and ... heart, each and every day. **Position Summary** We are searching for an experienced provider network professional to support our plan sponsors in managing their … more
- The Cigna Group (Sunrise, FL)
- …Healthcare Provider /Ancillary group experience required** + **1+ years prior Provider Servicing/ Provider Relations experience strongly preferred** + ... office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member...assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process… more
- Centene Corporation (Orlando, FL)
- …experience. Two years of managed care or medical group experience, provider relations , quality improvement, claims, contracting utilization management, or ... **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to… more