- 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
- Elevance Health (Miami, FL)
- **Behavioral Health Care Manager I - Ameriben** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... including medical management. **Hours: 8am-5pm (Local time)** The **Behavioral Health Care Manager I** is responsible for managing adult and pediatric inpatient… 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
- BayCare Health System (Tampa, FL)
- …Strategy** + Support payer strategy through analysis of reimbursement trends, contract performance, and value-based arrangement opportunities. + Provide ... shared savings, capitation, and bundled payments. + Collaborate with population health and care management teams to align cost -of- care initiatives with… 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
- Prime Therapeutics (Tallahassee, FL)
- …value to the customer, derived from identifying, demonstrating and selling valued pharmaceutical care and cost solutions that meet the desired outcomes of the ... fashion. + Demonstrates the value of pharmacy solutions (unit cost , utilization management & patient care enhancement)....different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for… more
- Wolters Kluwer (Tampa, FL)
- …technology (HIT) provider working on the front lines of clinical care . Our talented team of physician and pharmacist editors, technologists, and product ... solutions that measurably improve clinical effectiveness by helping healthcare professionals provide optimal care for their patients. **Wolters Kluwer Health's… more