- 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
- Elevance Health (Tampa, FL)
- …clinical, quality and regional leadership teams while ensuring a responsive provider relations approach including training and education. **Position ... all network management functions within the specified region. + Develops provider networks that provide a competitive advantage. + Align contracting strategy… 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 ... **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to… more
- Trellix (Tallahassee, FL)
- **_Job Title:_** Senior Product Marketing Manager - Network Security Portfolio **About Skyhigh Security:** Skyhigh Security is a dynamic, fast-paced, cloud company ... by openness and transparency. Since 2011, organizations have trusted us to provide them with a complete, market-leading security platform built on a modern… more
- Pearl Interactive Network (Tallahassee, FL)
- **Pearl Interactive Network ** is seeking an experienced and results-oriented **Program Manager** to oversee the planning, execution, and delivery of complex programs ... Mbps and upload speed of 5 Mbps. No Satellite Connections. **Test your network at speed.cloudflare.com to verify before you apply.** 2. Ethernet cable access.… more
- Humana (Tallahassee, FL)
- …quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract/payer relations . This design ... with each of our member hospitals. (For any internals, this will be a Provider Engagement Professional 2 position.) In addition to these rotations, the Fellow can… more
- Highmark Health (Tallahassee, FL)
- …thought leaders. Serve as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and ... realization. Critical partners include Advanced Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan… more
- Datavant (Tallahassee, FL)
- …the right format. Our platform is powered by the largest, most diverse health data network in the US, enabling data to be secure, accessible and usable to inform ... vision for healthcare. The **Coding Operations Manager** is essential to the Provider HIM Coding division. This position oversees the daily operations of designated… more
- Molina Healthcare (FL)
- …goals. + Partner with Network to communicate recovery projects so that provider relations can be informed and respond to questions from providers. ... leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent,… more
- Molina Healthcare (St. Petersburg, FL)
- …goals. + Partners with Network to communicate recovery projects so that provider relations can be informed and respond to questions from providers. ... resolution strategies. + Serves as a thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business… more