• Senior Claim Data Specialist ( Provider

    CVS Health (Tallahassee, FL)
    …denial issues that may affect Utilization Management, Enrollment, Claims, Configuration, Network, Contracting and/or Provider Data. + If any issues are ... Summary** + Claims analysis related to disputes, legal matters, state complaints, provider inquiries, and internal team inquires. In order to determine if there… more
    CVS Health (08/21/25)
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  • Credentialing and Provider Enrollment…

    BayCare Health System (Tampa, FL)
    …5:00 PM (may vary) + **Days:** Monday through Friday The **Credentialing and Provider Enrollment Specialist** is a full-time remote position. This team member must ... + Responsible for initiating and maintaining credentialing, managed care provider enrollment and hospital privileges for BayCare physicians and providers… more
    BayCare Health System (08/09/25)
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  • Contract Negotiator Senior

    AdventHealth (Maitland, FL)
    …payer contracts. Duties as assigned include leading strategic managed care contracting initiatives as directed by AdventHealth leadership; managed care contract ... in strong working relationships with department staff, various hospital and provider staff, and leadership at all AdventHealth Florida markets, providers, and… more
    AdventHealth (08/07/25)
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  • Senior Manager, Network Management, National…

    CVS Health (Tallahassee, FL)
    …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... proficient managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups....3+ years contracting for large facilities or provider groups. * Proven working knowledge of competitor strategies,… more
    CVS Health (07/19/25)
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  • QRM - Quality and Risk Management (Manager)…

    Deloitte (Miami, FL)
    … review of scope of work/SOW documents and related schedules. + Provide guidance on contracting and negotiation strategies. Ensure cross-functional alignment ... Responsibilities/Here is What You Will Do: Deal Desk Support, Contracting and Negotiations + Assist with deal desk and...the trusted advisor to leaders on multiple accounts. + Provide mentoring and training to Risk Management colleagues and… more
    Deloitte (08/16/25)
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  • Director of Market Access - Southeast

    Caris Life Sciences (Tallahassee, FL)
    …least within region and at requested times, outside of incumbent's region to provide national support. Ability to manage complex contracting documents ensuring ... Director of Market Access drives medical policy coverage initiatives and contracting strategies within assigned regional managed care organization(s), and employer… more
    Caris Life Sciences (08/21/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Tallahassee, FL)
    …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
    Highmark Health (07/30/25)
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  • Manager, Agile Sourcing- Commercial

    Bristol Myers Squibb (Tampa, FL)
    …environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work ... . **Introduction** Bristol Myers Squibb is looking for an experienced sourcing and contracting professional to join its Agile Sourcing team. Bristol Myers Squibb is… more
    Bristol Myers Squibb (08/21/25)
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  • Sr. Contracts Specialist

    Applied Research Solutions (Tampa, FL)
    …with us?** Applied Research Solutions (ARS) is respected as a world-class provider of technically integrated solutions as we deliver premier talent and technology ... We firmly believe that prioritizing our employees is of the upmost importance. We provide a culture where our employees are challenged to meet their career goals and… more
    Applied Research Solutions (08/19/25)
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  • Senior Supply Chain Account Manager,…

    Western Digital (Tallahassee, FL)
    …enhance supplier performance. Leadership responsibilities include developing a contracting Center-of-Excellence accountable for driving continuous improvement in ... and drive improvements in quality, delivery, and cost. + **Negotiation and Contracting :** Lead negotiations with suppliers on pricing, terms, and service level… more
    Western Digital (07/23/25)
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