- Molina Healthcare (Miami, FL)
- …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . This position will ... JOB DESCRIPTION **Job Summary** The Care Manager, LTSS provides support for care...licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. If licensed,… more
- Molina Healthcare (FL)
- …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job ... JOB DESCRIPTION Job Summary Provides support for care management/ care coordination activities and collaborates...licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. * Valid… more
- MyFlorida (Fort Lauderdale, FL)
- …of claims and provider reimbursement issues/complaints to determine managed care plan compliance with contract provisions. Coordinates and performs ... focused on advancing Governor DeSantis' vision for Florida's health care system to be the most cost -effective,...managed care plans related to compliance with contract provisions, provider reimbursement and claims processing… more
- MyFlorida (Fort Lauderdale, FL)
- …of claims and provider reimbursement issues/complaints to determine managed care plan compliance with contract provisions. Coordinates and performs ... focused on advancing Governor DeSantis' vision for Florida's health care system to be the most cost -effective,...managed care plans related to compliance with contract provisions, provider reimbursement and claims processing… more
- CVS Health (Tallahassee, FL)
- …from their analysis and develops recommendations to inform key decision makers + Provide input into performance monitoring and contract language to ensure ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Highmark Health (Tallahassee, FL)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
- Molina Healthcare (Jacksonville, FL)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. * Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Molina Healthcare (Jacksonville, FL)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. + Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- CVS Health (Tallahassee, FL)
- … contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Help at Home (Tallahassee, FL)
- **Overview** _Help at Home is the leading national provider of in-home personal care services, where our mission is to enable individuals to live with ... caregivers across 12 states. We're looking for people who care about others, who are willing to listen, lean...estate partner (Cushman & Wakefield), ensures effective vendor and contract management, and leverages the Coupa procurement system to… more