- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual provider … more
- CVS Health (Tallahassee, FL)
- …heart, each and every day. **Position Summary** We are searching for an experienced provider network professional to support our plan sponsors in managing their ... provider network performance and strategies. This is...a cross functional team of clinicians and analysts that provide consultative information and create custom solutions for commercial… more
- Centene Corporation (Orlando, FL)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for… more
- Centene Corporation (New Port Richey, FL)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for… more
- Datavant (Tallahassee, FL)
- …for healthcare. We are seeking a highly talented and dynamic Strategic Business Operations Manager on the Provider Business Optimization Team. In this role, you ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...initiatives to boost productivity and reduce costs across the Provider Division of Datavant. This position requires a strategic… more
- Zelis (St. Petersburg, FL)
- …and enhancing fraud mitigation frameworks to protect the integrity of our payments and provider network . This role will manage a team that investigate suspicious ... and the personal interests that shape who you are. Position Overview The Fraud Manager , Payee Identification and Network Security will report to the Sr. Director… more
- The Cigna Group (Sunrise, FL)
- …integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting ... and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process...value-based relationships. + Builds and maintains relationships that nurture provider partnerships to support the local market strategy. +… more
- Dodge Construction Network (Tallahassee, FL)
- Customer Success Manager Location: Remote, United States, United States **Description** TheCustomer Success Manageris a key member of our Go to Market organization ... This is a full-time position and reports directly to the Manager ,CustomerSuccess. **_Preferred Location_** This is a remote, home-office role and candidates… more
- Deloitte (Miami, FL)
- …through participation in one or more practice initiatives + Connect with your support network ( Manager , Coach and On Boarding Advisor) on a monthly basis The ... account operations and risk management. As a Financial Analyst, you will provide high-quality engagement financial management activities through all aspects of the… more
- Elevance Health (Tampa, FL)
- …all network management functions within the specified region. + Develops provider networks that provide a competitive advantage. + Align contracting strategy ... analytics to improve the delivery of care. **Regional Vice President (RVP) Provider Solutions, Behavioral Health (East Region)** **Location:** May be located in any… more