- Molina Healthcare (Tampa, FL)
- …EXPERIENCE** : * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and PowerPoint * Managed Care experience. * ... matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining… more
- EchoStar (Melbourne, FL)
- …and Responsibilities** **EchoStar** has an exciting opportunity for a ** Program Manager - Aviation** in our **Hughes Network Systems** division. This ... performance, and safety of in-flight connectivity systems + Identify potential risks in program execution and develop mitigation plans to drive risks to closure +… more
- The Cigna Group (Tampa, FL)
- …will need to work in the office or visit Providers 3 days per week The ** Manager , Provider Contracting Network Management** serves as an integral member of ... the Provider Contracting Team and reports to the AVP, ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … 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
- CVS Health (Tallahassee, FL)
- …each and every day. Implements Vale Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads dispute resolution ... processes, and collaborates with key stakeholders to drive network growth and ensure high-quality provider relationships. **What you will do** + Develops and… more
- CVS Health (Coral Gables, FL)
- …County** **Preferred Qualifications** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, Provider Appeals & ... plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal… more
- Herc Rentals (Bonita Springs, FL)
- Network Manager Apply now " **Date:** Nov...within the department budget + Monitor and report on network and voice system performance, and provide status ... role is responsible for implementation and operational aspect of the Herc network and voice Infrastructure. This role will coordinate technical activities of the… 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 ... business strategies. + Recruit providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within defined… 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
- The Cigna Group (Orlando, FL)
- …member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day-to-day contracting and ... The Provider Contract Negotiator supports the North Florida market and...network activities. Duties and Responsibilities + Manages submission process of… more