- BD (Becton, Dickinson and Company) (Stuart, FL)
- …LMS, and is responsible for the establishment, development and execution of the payor, managed care , and payer contracting medical policy initiatives in ... The individual will also have direct supervision of the contract administration staff and lead all aspects of vendor...+ Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best… more
- Evolent (Tallahassee, FL)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... culture.** Evolent is hiring a Vice President, Growth - Payer for our growth team. **Role Overview** **s** **:**...cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers… more
- AdventHealth (Altamonte Springs, FL)
- …and clinical departments * to keep them informed of any concerns related to managed care reimbursement and operational contract issues. * Ensures hospital ... on the revenue cycle of AdventHealth. Precision of the contract build ensures payer accountability and compliance...other products, policies and procedures that would impact the Managed Care team relative to processes and… more
- Cardinal Health (Tallahassee, FL)
- …in defining, developing, and executing go-to-market strategies that drive engagement with Managed Care Organizations (MCOs), health plans, and payor networks. ... positioning, promotion, and lifecycle marketing. The ideal candidate brings expertise in the managed care landscape-paired with the ability to translate data and… more
- AdventHealth (Maitland, FL)
- … Managed Care department. + Facilitates contract negotiations and other managed care projects in all payer tiers by coordinating other negotiation ... payer contracts. Duties as assigned include leading strategic managed care contracting initiatives as directed by...care contracting initiatives as directed by AdventHealth leadership; managed care contract review, interpretation… more
- AdventHealth (Maitland, FL)
- …revenue. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... systems for Florida and multi-state providers. Precision of the contract build ensures payer accountability and compliance...is not compromised. * Responsible for timely entry of contract data into the Managed Care… more
- AdventHealth (Maitland, FL)
- …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... to keep them informed of any concerns related to managed care reimbursement and operational contract...you'll need to succeed:** + 5 payer /provider contract negotiations + Experience with leading a managed… more
- Caris Life Sciences (Tallahassee, FL)
- …medical policy coverage initiatives and contracting strategies within assigned regional managed care organization(s), and employer groups (employee benefit ... be an in-network provider for insurance companies and group payer organizations within region. + Manage complex contract...+ Stay up to date on trends in the managed care market and develop strategy with… more
- Cardinal Health (Tallahassee, FL)
- …place between payer and provider(s) to ensure optimal reimbursement including managed care contracting, enrollment, credentialing, and any other activity as ... it relates to payer interaction. Manager of Payor Contracting is responsible for...contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- ChenMed (Miami, FL)
- …point of contact for ChenMed's sales strategy and overall growth performance with Medicare managed care plan executives, including both Value Based Care and ... business plans by aligning membership growth goals with contracted managed care plans. The person in this...payor switch initiatives. + Works closely with ChenMed's Strategic Payer Partnership team and is conduit to National Growth… more
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