- Mayo Clinic (Jacksonville, FL)
- **Why Mayo Clinic** Mayo Clinic is top-ranked in more specialties than any other care provider according to US News & World Report. As we work together to put the ... . Mayo Clinic participates in E-Verify (https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf) and may provide the Social Security Administration and, if necessary, the… more
- Cardinal Health (Tallahassee, FL)
- …+ Respond to third party/managed care requests in a timely manner + Provide existing customers and third-party vendors with the best possible service and ... to internal and external processes, and other areas of opportunity + Provide product service information to customers and identifies opportunities to maintain… more
- Centene Corporation (New Port Richey, FL)
- …experience. Two years of managed care or medical group experience, provider relations , quality improvement, claims, contracting utilization management, or ... **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to… more
- Centene Corporation (Orlando, FL)
- …experience. Two years of managed care or medical group experience, provider relations , quality improvement, claims, contracting utilization management, or ... **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to… more
- Humana (Tallahassee, FL)
- …with Medicaid policies and/or Medicaid health plan operations, such as provider relations , claims submission and payment, utilization management processes, ... community and help us put health first** Humana Healthy Horizons is seeking a Medicaid Provider Materials Lead who is responsible for leading a team to execute core … more
- CVS Health (Tallahassee, FL)
- …and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure alignment with regulatory and contractual ... will also serve as a key liaison between Compliance, Legal, Network Contracting, and Provider Relations teams. **Required Qualifications** + A minimum of 7 years… more
- The Cigna Group (Sunrise, FL)
- …Healthcare Provider /Ancillary group experience required** + **1+ years prior Provider Servicing/ Provider Relations experience strongly preferred** + ... office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- Elevance Health (Tampa, FL)
- …clinical, quality and regional leadership teams while ensuring a responsive provider relations approach including training and education. **Position ... for all network management functions within the specified region. + Develops provider networks that provide a competitive advantage. + Align contracting… more
- CVS Health (Tallahassee, FL)
- …Qualifications** - Minimum of 7+ years of direct industry experience negotiating provider contracts and/or provider relations . - Strong understanding ... each and every day. **Position Summary** We are searching for an experienced provider network professional to support our plan sponsors in managing their provider… more
- CVS Health (Tallahassee, FL)
- …**Required Qualifications:** + 2 years healthcare industry experience specifically in provider relations or network experience. + Organizational skills due ... submitted by Aetna Network Account Management team or the Aetna Provider Contact Center. Concerns submitted vary- Claim inquiries, Retro contract loads/pricing… more