- The Cigna Group (Tampa, 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 ... Sales and Marketing and Service. + Contributes to the development of alternative network initiatives. Supports and...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Molina Healthcare (Jacksonville, FL)
- …usable information by tell the story through data visualization working with clinical, provider network and other personnel to bring supplemental context and ... knowledge of business functions and impact on financials (underwriting, sales, product development , network management.) To all current Molina employees: If you… more
- Celestica (Orlando, FL)
- … network where you will influence our program management competency across our global development network * Have the opportunity to grow and unlock all of ... managers and working with site functional management teams, driving the development , implementation, and evaluation of complex designs and large projects with… more
- Leidos (St. Petersburg, FL)
- …customers. Primary Responsibilities + Perform technical planning, system hardware-software- network design, development and integration, verification and ... FL** office. The Leidos facility in St. Petersburg provides design, development , modeling and simulation, analysis, prototyping and testing of advanced electronic… more
- Humana (Tallahassee, FL)
- …Lead to provide guidance, support, and relationship management to key provider partners on HOS measures and patient experience. This position is also responsible ... for collaborating with network and provider rewards teams to develop...population. This role will lead execution of tactics, collaborative development of engagement strategy, status updates to leadership, and… more
- Molina Healthcare (St. Petersburg, FL)
- …to regulators in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. + Act as an expert in handling ... DESCRIPTION** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains… more
- MyFlorida (West Palm Beach, FL)
- PROVIDER ENROLLMENT SUPERVISOR - 67031520 Date: Sep 26, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 861998 Agency: Agency for Persons with Disabilities Working Title: PROVIDER ENROLLMENT SUPERVISOR - 67031520 Pay Plan: SES Position Number: 67031520… more
- Molina Healthcare (Jacksonville, FL)
- …regulators in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other ... **Knowledge/Skills/Abilities** * Strategically plans, leads, and manages the overall Provider Information process functions. * Directs the development ,… 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 ... ** Provider Contract/Cost of Care Consultant** **Locations:** This role...via multiple variable analysis; preparing pre-negotiation analysis to support development of defensible pricing strategies; performing modeling to compare… more
- Molina Healthcare (St. Petersburg, FL)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with...MHI attorney. + Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new… more
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