- 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
- Sharecare (Tallahassee, FL)
- …the time. Provider Solutions is looking for a strong, dynamic and experienced Provider Sales Manager to expand business throughout the United States. The ... Provider Sales Manager is responsible for protecting existing named account revenue as well as growing and expanding Provider Solutions inside the existing… more
- CVS Health (Tallahassee, FL)
- …to GLOBAL VIP CLIENT. The ideal candidate will assist the Senior Network Manager in managing competitive and complex contractual relationships with TPAs and business ... management, and overall claim/customer service experience. The candidate will provide concierge-level service to GLOBAL VIP CLIENT members by...next 12 months' time frame. + Assist Sr. Network manager to manage assigned TPAs via managing day to… more
- LogixHealth (Dania Beach, FL)
- Purpose The Manager will supervise the day to day responsibilities for the Provider Enrollment Department workflow to ensure efficiency and accuracy of work. ... of the staff. Duties and Responsibilities + Oversee all employees in the provider enrollment department + Research and resolve any issues that arise + Monitor… more
- CVS Health (Tallahassee, FL)
- …medical cost management and overall claim/customer service strategies. This role will provide concierge level of service to GLOBAL VIP CLIENT members via timely ... Ensure setup / maintenance of claim file, eligibility file, provider data file and changes. + Lead operational vendor...management team with network and TPA questions or inquiries. Provide support to peers and colleagues working on GLOBAL… more
- 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
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **Knowledge/Skills/Abilities**… more
- 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
- Molina Healthcare (St. Petersburg, FL)
- …effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates high priority physician ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets and… more
- AssistRx (Orlando, FL)
- Under the direction of the chief growth officer, the senior manager of provider solutions will lead a high-performing sales team focused on supporting and ... (HCPs). This individual will oversee both the account executives and provider solutions specialists, driving platform adoption and engagement, managing operational… more