• Manager , Provider Contracting…

    The Cigna Group (Tampa, FL)
    …will need to work in the office or visit Providers 3 days per week The ** Manager , Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the AVP, ...matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION… more
    The Cigna Group (07/23/25)
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  • Provider Contracts Manager

    Molina Healthcare (St. Petersburg, FL)
    …oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the...**Job Duties** This role negotiates contracts with the Complex Provider Community that result in high quality, cost effective… more
    Molina Healthcare (07/17/25)
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  • Provider Engagement Account Manager

    Centene Corporation (New Port Richey, FL)
    …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... act as a liaison between the providers and the health plan + Triages provider issues as needed and coordinates response with internal matrix partners + Receive and… more
    Centene Corporation (08/03/25)
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  • Provider Engagement Account Manager

    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
    Centene Corporation (07/10/25)
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  • Senior Manager , Provider Plan…

    CVS Health (Tallahassee, FL)
    …each and every day. **Position Summary** We are searching for an experienced provider network professional to support our plan sponsors in managing their provider ... as part of a cross functional team of clinicians and analysts that provide consultative information and create custom solutions for commercial Plan Sponsors. The… more
    CVS Health (08/09/25)
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  • Provider Relationship Manager

    Ascension Health (Middleburg, FL)
    …Create programs designed to foster external relationships with the hospital or healthcare facility. + Identify and help to develop and cultivate strategic ... relationships with community partners and facilities. Collaborate with leaders across the organization to drive new business. + Work with service line and hospital leadership to implement initiatives for pipeline development including gathering and providing… more
    Ascension Health (07/30/25)
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  • Provider Contracting Lead Analyst - South…

    The Cigna Group (Sunrise, FL)
    …integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting ... value-based relationships. + Builds and maintains relationships that nurture provider partnerships to support the local market strategy. +..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
    The Cigna Group (07/12/25)
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  • Provider Contract/Cost of Care Consultant…

    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 and ... This position is not eligible for current or future VISA sponsorship._ The ** Provider Contract/Cost of Care Consultant** provides analytical support to the Cost of… more
    Elevance Health (07/29/25)
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  • Director Provider Solutions-New Jersey

    Elevance Health (FL)
    **Director Provider Solutions-New Jersey** Location: New Jersey. This role requires associates to be in-office 3 days per week, fostering collaboration and ... unless an accommodation is granted as required by law. The **Director Provider Solutions** is a dynamic and results-oriented leader committed to healthcare… more
    Elevance Health (07/24/25)
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  • Director, Appeals & Grievances (Medicare…

    Molina Healthcare (Jacksonville, FL)
    …for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and ... * Leads, organizes, and directs the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes that is responsible for reviewing and… more
    Molina Healthcare (07/18/25)
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