- Molina Healthcare (Orlando, FL)
- …**This role will have standard EST business hours.** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation ... and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **Knowledge/Skills/Abilities**… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **KNOWLEDGE/SKILLS/ABILITIES**… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider ... plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare… more
- Evolent (Tallahassee, FL)
- …SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and ... practice transformation efforts in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing… more
- Centene Corporation (Orlando, FL)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... between the providers and the health plan + Triages provider issues as needed for resolution to internal partners...internal partners + Receive and effectively respond to external provider related issues + Investigate, resolve and communicate … more
- Elevance Health (Tampa, FL)
- …for all network management functions within the specified region. + Develops provider networks that provide a competitive advantage. + Align contracting ... analytics to improve the delivery of care. **Regional Vice President (RVP) Provider Solutions, Behavioral Health (East Region)** **Location:** May be located in any… more
- Sharecare (Tallahassee, FL)
- …for everyone. To learn more, visit www.sharecare.com. **Job Summary:** Sharecare Provider Solutions is the leader in providing secure electronic exchange, delivery ... to thousands of Healthcare Providers across the United States. Provider Solutions provides unmatched compliance in the industry with...getting reviewed prior to release 100% of the time. Provider Solutions is looking for a strong, dynamic and… more
- Ascension Health (Gulf Breeze, FL)
- **Details** + **Department:** Multi Provider + **Schedule:** Full time days. Monday-Friday from 7:30-5:00 + **Facility:** Ascension Sacred Heart Medical Group + ... and treatment of patients under the direction of a provider (Physician or Advanced Practice Provider ). + Assist with treatments ordered by provider … more
- Molina Healthcare (Miami, FL)
- …adjudicators and senior provider claims adjudicators. Train and coach new employees. Provide clear and concise results on the provider claims model across ... to closure. + Perform daily troubleshooting procedures to support Provider Claims functions as needed. + Participates in or...and/or policies. + Serves as subject matter expert and provide feedback to team and provide training… more