- Elevance Health (Tampa, FL)
- ** Provider Contract / Cost of Care Consultant** **Locations:** This role requires associates to be in-office **1-2** days per week, fostering collaboration ... NOTE: This position is not eligible for current or future VISA sponsorship._ The ** Provider Contract / Cost of Care Consultant** provides analytical… more
- Elevance Health (Tampa, FL)
- ** Provider Contract Cost of Care Consultant - VBC** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... granted as required by law. The ** Provider Contract Cost of Care Consultant...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- The Cigna Group (Tampa, FL)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- Centene Corporation (New Port Richey, FL)
- …account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- Aflac (FL)
- Provider Network Recruiter The Company: Aflac Columbus The Location: FL, US The Division: Dental & Vision Job Id: 8317 Salary Range: $70,000- $90,000 Job Posting End ... it take to be successful in this role? + Experienced in external facing contract review and negotiations + Efficient and concise communication skills both verbal and… more
- Molina Healthcare (St. Petersburg, FL)
- …Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- Centene Corporation (Tallahassee, FL)
- …to the provider + Facilitate and provide oversight to the provider set-up and contract configuration to ensure accurate claims adjudication + Evaluate ... guidelines. This position will focus on our Behavioral Health provider network. + Recruit and develop provider ...ancillary) and ensure that negotiations result in the unit cost targets expected and meet the objectives of the… more
- Planate Management Group LLC (Florida City, FL)
- …facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, ... US federal agencies, all over the world. We are seeking an experienced Contract Specialist II to join our team in providing professional acquisition support services… more
- Molina Healthcare (FL)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- University of Miami (Hialeah, FL)
- …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Contract Specialist 2 The University of Miami/UHealth ... Chain has an exciting opportunity for a Full Time Contract Specialist 2 to work at the UHealth Medical...the terms comply with legal guidelines, contracting principles, and cost constraints + Help Purchasing and suppliers with technical… more