- 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
- 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 (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 (Orlando, 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 (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
- 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
- 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
- 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
- Highmark Health (Tallahassee, FL)
- …marketplace by staying abreast of changes to the business climate. Monitor provider reimbursement methods and PPO/DHMO/EPO network models and communicate changes ... territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet… 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 ... of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for… more