- Meta (Tallahassee, FL)
- …of vision insurance across multiple providers 11. Experience with insurance formulary management and provider network strategies 12. Experience building ... 3. Manage Meta's product status under different formulary scenarios and in- vs. out-of- network provider conditions 4. Influence product development and support a… more
- L3Harris (Melbourne, FL)
- …possess extensive expertise in designing, developing, and integrating a complex Air Traffic Management (ATM) communication network , with a strong focus on SD-WAN ... interest of national security. Job Title: Lead, Systems Engineer - Communications Network System Architect Job Code: 28207 Job Location: Melbourne, FL (On-site) Work… more
- Centene Corporation (Tallahassee, FL)
- …implementing value-based performance strategies required In-depth knowledge of value-based contracting, provider network management , and/or process and ... and management of strategic projects and initiatives for the Provider Experience organization. Collaborates with senior management and stakeholders in… more
- CVS Health (Tallahassee, FL)
- …+ Advance working knowledge of business systems, applications, and tools supporting network management , contracting, and provider data systems + ... with heart, each and every day. This exciting role is a fast-paced healthcare provider support role, intended to foster a positive provider experience by… 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 ... ** Provider Contract Cost of Care Consult Senior / VBC**...support to Medical Directors and management on cost of care issues. Leads large scale initiatives… 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 ... to Medical Directors and management on cost of care issues. Supports large scale...initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all… more
- CVS Health (Tallahassee, FL)
- …do it all with heart, each and every day. **Position Summary** - Maintains the Provider Data (demographic and contractual) for all network and non- network ... Ensures all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (ie, directory listings). - Develops… more
- Elevance Health (Lake Mary, FL)
- …on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. **How you will make an impact:** + Provides ... **Cost of Care/ Provider Contracting Data Analyst** **Location** : This role...advice, analytic and consultative support to Medical Directors and management on cost of care issues. + Works on… more
- BayCare Health System (FL)
- …providers remain compliant with all licensing and board requirements (expirables management ) and processes provider applications for renewals reappointments. + ... the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute...vary) + **Days:** Monday - Friday The Credentialing and Provider Enrollment Specialist Senior will work in a remote… more
- Elevance Health (Tampa, FL)
- …on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Typically works with one provider type, eg ... **Cost of Care/ Provider Contracting Data Analyst Senior** **Location:** This role...and analytic support to Medical Directors, contract negotiators and management on cost of care issues to help reduce… more