- Humana (Tallahassee, FL)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… 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 ... of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for… more
- Elevance Health (Tampa, FL)
- …providers to be reviewed based on historical results of other reviews with providers, network management input and dollar volume of provider . + Schedules review ... ** Provider Auditor -** FRD > Audit **Hybrid 1:**...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Evolent (Tallahassee, FL)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and… more
- Ascension Health (Pensacola, FL)
- …in Pensacola, FL. This is a great opportunity for the right candidate to provide medical services to patients at Ascension Sacred Heart located in Pensacola, FL. ... care and nursing processes in accordance with specific specialty area standards and network nursing policy. **About Ascension Sacred Heart Pensacola** + As part of… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Specialty: Gynecologic Oncology APRN or PA (Advanced Practice Provider )** + **Schedule: Full-time, 36 clinical hours per week** + **EMR System: ... Ascension St. Vincent's is looking for a Gynecologic Oncology Advanced Practice Provider APRN/PA. This is a great opportunity for the right candidate to… more
- BayCare Health System (Tampa, FL)
- …to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health ... 5:00 PM (may vary) + **Days:** Monday through Friday The **Credentialing and Provider Enrollment Specialist** is a full-time remote position. This team member must… more
- Ascension Health (Pensacola, FL)
- …have grown and expanded, our commitment to the mission remains steadfast: to provide excellent health care to all people, with special attention to the poor ... Florida's only children's hospital, and Sacred Heart Medical Group, the largest network of primary care and specialty physicians in Northwest Florida. + Sacred… more
- Ascension Health (Middleburg, FL)
- …offer._ **Responsibilities** Ascension St. Vincent's is looking for an Advanced Practice Provider for it's Clay County Cardiology Clinic. This is a great opportunity ... for the right candidate to partner with Ascension St. Vincent's to provide medical services to patients. **Responsibilities:** + Obtains patient history and performs… more
- CVS Health (Tallahassee, FL)
- …Promote collaboration with internal partners. * Evaluate, formulate, and implement the provider network strategic plan to achieve contracting targets and manage ... your next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will manage negotiations, conduct high-level… more