- CDM Smith (Tampa, FL)
- …CDM Smith is seeking a Senior Network Specialist with deep expertise in network security and firewall management to help safeguard and scale our global IT ... threats, while serving as a subject matter expert in network security best practices. The ideal candidate will: *...cloud, and hybrid environments. * Mentor junior engineers and provide technical leadership during incidents. * Stay ahead of… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, ... contracted provider network . They are responsible for the provider training, network management and ensuring knowledge of and compliance with Molina… more
- The Cigna Group (Sunrise, FL)
- …direction and management of the day to day contracting and network management activities for a local given territory. **Duties and Responsibilities** ... The ** Provider Contracting Manager** serves as an integral member...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Molina Healthcare (Tampa, FL)
- …of education and experience. **PREFERRED EXPERIENCE** : * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and ... matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining… more
- Elevance Health (Miami, FL)
- …cost of care improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new ... of care initiatives, negotiates for human capital resources, and partners with care management , network , claims & operational teams, IT, and business partners. +… more
- Santander US (Coconut Grove, FL)
- …confirming that key risks (eg, cybersecurity, data integrity, system availability, change management ) are adequately identified and mitigated. + Provide second ... IT and cybersecurity risks, including IT general controls, identity and access management , network security, cloud, and application security. + Familiarity with… more
- Molina Healthcare (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...models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal… more
- Molina Healthcare (FL)
- …sent as directed by management . * Formats and distributes Provider network resources (eg electronic specialist directory). **Job Qualifications** **REQUIRED ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This… 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 ... requirements of customers as it pertains to contracting and network management . **Job Duties** This role supports...provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers… more
- CVS Health (Tallahassee, FL)
- … data operations, including compliance. + Three or more years of experience in network management , contracting, or related healthcare network functions. + ... One or more years of hands-on experience with provider data management platforms. **Education** + Bachelor's degree preferred/specialized training/relevant… more