- ChenMed (Clearwater, FL)
- …The Network Representative is responsible for the establishment of a Coordinated Provider List (CPL) to provide specialty care services to our patients ... This individual will report to and work with the Network Director to develop the CPL and serve as...Representative is responsible for the establishment of a Coordinated Provider List (CPL) to provide specialty care… more
- The Cigna Group (Tampa, FL)
- …will need to work in the office or visit Providers 3 days per week The ** Manager , Provider Contracting Network Management** serves as an integral member of ... 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 (St. Petersburg, FL)
- …effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates high priority physician ... + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation… 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
- Centene Corporation (Miami Gardens, FL)
- …communication. + Manage tool strategy, governance and plan utilization for provider engagement, including performance tool development , enhancement, sunset and ... meaningful and effective provider training + Develop and manage provider communication strategy related to engagement, content development ensuring… more
- CVS Health (Coral Gables, FL)
- …the development of agenda, validates materials, and facilitates external provider meetings. + Collaborate cross-functionally with the implementation of large ... County** **Preferred Qualifications** + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, Provider Appeals &… more
- Herc Rentals (Bonita Springs, FL)
- Network Manager Apply now " **Date:** Sep...within the department budget + Monitor and report on network and voice system performance, and provide status ... role is responsible for implementation and operational aspect of the Herc network and voice Infrastructure. This role will coordinate technical activities of the… more
- CVS Health (Tallahassee, FL)
- …every day. **Position Summary:** CVS Health is seeking a versatile and innovative Manager , Network Engineer - Streaming Engineering, to join our Enterprise ... in enterprise video streaming with Power BI and Power Platform development , supporting a hyper-distributed end-user experience and enabling data-driven insights and… 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
- Humana (Tallahassee, FL)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience interacting… more