- Centene Corporation (Tallahassee, 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)
- …claims costs, improving the quality of care, and increasing member and provider network satisfaction. + Provides expert advice, analytic and consultative ... ** Provider Contract Cost of Care Consult Senior /...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Tampa, FL)
- …claims costs, improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic and consultative support ... large scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all aspects of… more
- Elevance Health (Lake Mary, FL)
- …on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. **How you will make an impact:** + Provides ... **Cost of Care/ Provider Contracting Data Analyst** **Location** : This role...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- 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...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Elevance Health (Tampa, FL)
- …on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Typically works with one provider type, eg ... **Cost of Care/ Provider Contracting Data Analyst Senior** **Location:** This role...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Datavant (Tallahassee, FL)
- …the right format. Our platform is powered by the largest, most diverse health data network in the US, enabling data to be secure, accessible and usable to inform ... **What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling chart retrieval and HCC (Hierarchical… more
- The Cigna Group (Tallahassee, FL)
- **Position Summary** The Dental Health Care Provider (HCP) Communications position is accountable for developing dental HCP communications and marketing materials ... Communications. + Ensure that Cigna for HCP has updated provider materials. + Coordinate and develop quarterly provider...their distribution for initiatives that affect dental and/or our network of dental HCPs. + Ensure all information has… more
- Molina Healthcare (FL)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... of individual provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with the goal of meeting Molina's … more
- Molina Healthcare (Miami, FL)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. *… more