- Molina Healthcare (FL)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...provider network . They are responsible for network management including provider education,… more
- CVS Health (Tallahassee, FL)
- …Specialists in a specific geographic territory responsible for overall maintenance and territory management of the provider network , as a functional subject ... of Aetna's Dental Products and market position. Negotiation of contract language and provider compensation. Review quality and service reports with provider and… more
- Cardinal Health (Tallahassee, FL)
- …data needs and execute updates when required + Report results and outcomes of network status to management at regular intervals + Respond to third party/managed ... **_Responsibilities:_** + Maintain up to date credentials for entire network of participating health plans + Cultivate and maintain...care requests in a timely manner + Provide existing customers and third-party vendors with the best… more
- BayCare Health System (Tampa, FL)
- …this role, you'll serve as a trusted advisor, specializing in employee relations , workplace investigations, performance management , and team member engagement. ... the largest employers in the Tampa Bay area. Our network includes 16 community-based hospitals, a long-term acute care...Tampa Bay area. **Your Role Within the Team** + Provide direct support on employee relations and… more
- Florida Atlantic University (Boca Raton, FL)
- …Director of Alumni Relations and Board Operations will assist in the management of the Alumni Association Board of Directors, provide support to the ... account. Position Summary: Florida Atlantic University is seeking an Assistant Director of Alumni Relations and Board Operations - Boca Raton, FL.The Assistant… more
- Prime Therapeutics (Tallahassee, FL)
- …passion and drives every decision we make. **Job Posting Title** Consultant Relations Principal - Remote **Job Description** The Consultant Relations Principal ... improved win rates, and greater account retention. **Responsibilities** + Network , establish and maintain trusted, strategic partnerships, with key customers,… more
- 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 ... or reimbursement account for flexible coverage. + Vision: Affordable plan with national network . + Pre-Tax Savings: HSA and FSAs for eligible expenses. + Retirement:… more
- CVS Health (Tallahassee, FL)
- …direct industry experience negotiating provider contracts and/or provider relations . - Strong understanding of health care network product spectrum and ... day. **Position Summary** We are searching for an experienced provider network professional to support our plan...unique opportunity to work directly with plan sponsors, account management , local/ national network , clinicians and analysts… 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...assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages submission process… more
- Centene Corporation (Orlando, FL)
- …years of managed care or medical group experience, provider relations , quality improvement, claims, contracting utilization management , or clinical ... Manages Network performance for assigned territory through a consultative/account management approach + Evaluates provider performance and develops strategic… more