- Meta (Tallahassee, FL)
- …to expand into the next phase of network development . As a Network Investments - Manager , you will work closely with internal planning and engineering ... network infrastructure. Through direct engagement with partners around the world, the Network Investments Team seeks to foster the development of the… more
- Elevance Health (Tampa, FL)
- … management and leads projects with significant impact. + May assist management in network development planning. + May provide work direction and establish ... Provider Network Management Director** is responsible developing provider networks through contract negotiations, relationship development , and servicing… more
- Elevance Health (Miami, FL)
- …negotiations with key provider groups and hospital systems. This role supports network development and management activities for the VA's Community Care ... ** Provider Network Management Director Senior** **Location:**...or any combination of education and experience, that would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- ChenMed (Jacksonville, 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...providers. This individual will use database systems to manage provider data and produce reports and analysis for the… more
- Molina Healthcare (FL)
- …live in the United States _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual provider … more
- Molina Healthcare (Miami, FL)
- …all contractual and/or regulatory requirements. * Ensures compliance with applicable provider panel and network capacity, adequacy requirements and guidelines. ... Contracting jobs are responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical… more
- Prime Therapeutics (Tallahassee, FL)
- …federal regulations or guidance into Prime's contracts and Provider Manual. The Network Client Services Manager supports efforts to ensure all network ... It fuels our passion and drives every decision we make. **Job Posting Title** Network Client Services Manager **Job Description** The Networks Client Services … more
- CVS Health (Tallahassee, FL)
- …, Value Based Contractor who will partner with business development and network leaders to build innovative and strategic provider relationships as part of ... Based Solutions Specialty Partnership team. You will work collaboratively across the Network and Clinical organizations to ensure speed to market and to support… more
- Centene Corporation (Tampa, FL)
- …in contract incentive performance, quality, and cost utilization. Participate in the development of network management strategies. Assists in the strategic ... Purpose:** Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Engage with providers to align on … 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 ... in 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… more