- 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
- 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
- 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 (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
- 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
- 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
- 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
- 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 (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
- 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