- Molina Healthcare (Tampa, FL)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (FL)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Jacksonville, FL)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Molina Healthcare (Miami, FL)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Evolent (Tallahassee, FL)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE WEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- Lake Erie College of Osteopathic Medicine (Bradenton, FL)
- Assistant Director of Network Operations Overview Date Posted: 10/24/2025 Location: Bradenton Address: 5000 Lakewood Ranch Blvd. City: Bradenton State: FL ... Employment Status: Full-time Description JOB SUMMARY : The Assistant Director of Network Operations reports to the...Network Operations and IT policies and procedures; + Provide immediate problem resolution or escalation to the appropriate… more
- CVS Health (Tallahassee, FL)
- …is accountable for the strategic alignment, operational success, and performance management of assigned provider relationships with the most complex/high ... value initiatives and/or highest risk and revenue generating provider systems, network and value-based relationships. Ensures that assigned value-based contract… more
- Prep Network (Sumterville, FL)
- …that create long-lasting memories for prep athletes What You'll Do As an Event Director with Prep Network , you'll take the lead in delivering high-quality, ... to closing-ensuring that each event runs seamlessly and reflects Prep Network 's commitment to professionalism, safety, and inclusivity. Working closely with our… more
- Sedgwick (Tallahassee, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Provider Network Specialist **PRIMARY PURPOSE** **:** To ensure clients and ... MCO provider on physician credentialing, MCO additions and removals, network and problematic issues. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **ARE YOU AN… more
- AdventHealth (Davenport, FL)
- …with Providers and keep the CMOs updated. The Facility Care Management Director communicates regularly with the CFO to provide a bidirectional communication ... 50 years. . As a part of the AdventHealth network patients will have greater access to a wide...and care transition handoffs for all patients. The Care Management Facility Director will provide … more