- 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
- 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
- TEKsystems (Tampa, FL)
- …with providers, maintaining accountability for issue closure and satisfaction . Support manager in identifying trends in provider inquiries and escalate systemic ... Description The Provider Customer Service Associate is a key resource...teams such as Billing, Medical Bill Review, Finance, and Network Services. The Associate is accountable for thorough documentation,… 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 ... to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting JOC's. *… more
- Leidos (Orlando, FL)
- …Our team supports the Advanced Battle Management System's (ABMS) Digital Infrastructure (DI) Network Manager program. In this mission we support the Department ... adversaries can detect and respond to. **Primary Responsibilities** **.** + Provide Cloud Engineering support for the design, documentation, maintenance, and… more
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