- 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
- ChenMed (Greenacres, FL)
- …referral team meeting- Create agenda for meeting. Gather info from Medical Director / Network Director /Referral Manager . + Prepares Referral Team Meeting Minutes ... or associate director. + Establishes consistent and strong relationships with specialists' provider offices. + Collaborates with network leaders to identify … 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
- Zelis (St. Petersburg, FL)
- …needs, and ensure internal coordination, including a Payer Communication counterpart and the General Manager of the Provider network . What you'll do: + ... and the personal interests that shape who you are. Position Overview The Manager of Payee ( Provider ) Communications Operations is responsible for the seamless,… more
- Ensono (Miami, FL)
- …Manager who is responsible for keeping the entire project on task. The Transition Manager is not responsible for network , security, ITSM, and other aspects of ... how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep up with… more
- Oracle (Tallahassee, FL)
- …It is a dynamic and flexible workplace where you'll belong and be encouraged. OCI Network Availability is looking for a senior manager to lead a Networking ... responsible for driving operational excellence within the OCI physical network , supporting AI/ML, GPU workloads in a broadly distributed,...our product, and our customers. Are you able to provide direction and structure for your teams? Do you… 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...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- CenterWell (Tallahassee, FL)
- …+ A minimum of three experience in Healthcare or managed care with Provider Contracting, Network Management or Provider Relations experience + ... of our caring community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with physicians,… more
- Humana (Tallahassee, FL)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat… more
- Elevance Health (Lake Mary, FL)
- …on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. + Typically works with one provider type, ... ** Provider Contract Cost of Care Analyst Senior** **Location:**...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more