• Manager, Provider Contracting…

    The Cigna Group (Fort Lauderdale, FL)
    …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 ... and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide guidance or expertise to… more
    The Cigna Group (07/04/25)
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  • Senior Specialist, Provider Network

    Molina Healthcare (FL)
    **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **KNOWLEDGE/SKILLS/ABILITIES**… more
    Molina Healthcare (08/02/25)
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  • Specialist, Provider Network

    Molina Healthcare (Orlando, FL)
    …DESCRIPTION** **This role will have standard EST business hours.** **Job Summary** Provider Network Administration is responsible for the accurate and timely ... requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **KNOWLEDGE/SKILLS/ABILITIES**… more
    Molina Healthcare (08/14/25)
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  • Manager, Provider Network

    Molina Healthcare (Miami, FL)
    **Job Description** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. **Knowledge/Skills/Abilities**… more
    Molina Healthcare (08/13/25)
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  • Director, Provider Network

    Molina Healthcare (Tampa, FL)
    …metrics. Synchronizes data among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data on provider ... goals of the department and organization. + Develops and implements Provider Network and Contract strategies across all lines of business, identifying those… more
    Molina Healthcare (08/20/25)
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  • Senior Manager, Provider Plan Sponsor…

    CVS Health (Tallahassee, FL)
    …heart, each and every day. **Position Summary** We are searching for an experienced provider network professional to support our plan sponsors in managing their ... provider network performance and strategies. This is...a cross functional team of clinicians and analysts that provide consultative information and create custom solutions for commercial… more
    CVS Health (08/09/25)
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  • Representative, Provider Relations HP (Must…

    Molina Healthcare (FL)
    **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for network management including provider more
    Molina Healthcare (08/02/25)
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  • Provider Contracting Lead Analyst - South…

    The Cigna Group (Sunrise, FL)
    …need to work in the office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider Contracting ... This role assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process of contracting and… more
    The Cigna Group (07/12/25)
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  • Regional Vice President (RVP) Provider

    Elevance Health (Tampa, FL)
    …all network management functions within the specified region. + Develops provider networks that provide a competitive advantage. + Align contracting strategy ... analytics to improve the delivery of care. **Regional Vice President (RVP) Provider Solutions, Behavioral Health (East Region)** **Location:** May be located in any… more
    Elevance Health (08/13/25)
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  • Provider Engagement Professional 2

    Humana (Niceville, FL)
    …and Calhoun + 1 - 5 years of Health care or managed care with Provider Contracting, Network Management or Provider Relations experience + Proven planning, ... caring community and help us put health first** The Provider Engagement Professional 2 develops and grows positive, long-term...Please be aware that applicants may be asked to provide their Social Security Number, if it is not… more
    Humana (08/21/25)
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