- Humana (Tallahassee, FL)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer… more
- CACI International (Doral, FL)
- …Targeting Officer background to include developing and reviewing Targeting Packages, Network Development , and System Vulnerability Analysis. + Effectively ... Opportunity:** As a CACI Sensitive Activities Intelligence Integrator, you will provide critical subject matter expertise to the SCJ3X Integrated Operations Division… more
- Humana (Tallahassee, FL)
- …role is within the Integrated Pricing Solutions (IPS) department which falls under the Provider Process and Network Organization (PPNO). **The Sr. Provider ... help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part...needed to accommodate CMS logic. + Assisting with requirements development . + Creating and executing comprehensive test plans +… 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
- Battelle Memorial Institute (Eglin AFB, FL)
- …in a dynamic, mission-driven environment. The Community Program and Peer Network Coordinator is responsible for the comprehensive development , coordination, ... Battelle delivers when others can't. We conduct research and development , manage national laboratories, design and manufacture products and deliver critical services… more
- GovCIO (Tampa, FL)
- …are complied with through formal verification methods. Translates high-level product development strategies into network and system requirement specifications ... the development of standards, practices, and procedures related to the overall network and system development . Design interface and bring network and… 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
- Oracle (Tallahassee, FL)
- …Oracle cloud computing environment (Oracle Cloud Infrastructure - OCI). Primarily focused on development and support of network fabric and systems through a ... Assist in the onboarding of new team members. Regularly participate in network solution design review and provide feedback. Participate in operational… more
- Humana (Tallahassee, FL)
- …strategies to align clinical programs with payer-specific needs (MA, D-SNP). + Provide clinical input into network development , contract negotiations, ... improvement, cost efficiency, and population health outcomes through strategic provider partnerships, data-informed decision-making, and cross-functional collaboration. The RVP… more
- AdventHealth (Orlando, FL)
- The Chief Advanced Practice Provider Officer (CAPPO) is a senior clinical leader responsible for the strategic vision, integration, governance, and advancement of ... productivity benchmarks, access targets, and utilization models. **APP Experience & Development :** + Create and maintain APP career ladders, compensation models, and… more