• Managed Care Contract…

    AdventHealth (Maitland, FL)
    …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred ...contract data elements which are populated into the Managed Care database including addition of new… more
    AdventHealth (09/12/25)
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  • Managed Care Payer Manager

    AdventHealth (Maitland, FL)
    …partners, vendors and leadership after identifying and quantifying the issue. Supports the Managed Care Contract Administration, AH Central Denials team, and ... non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical...issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst. Contributes to the… more
    AdventHealth (09/23/25)
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  • Manager of Physician Contract…

    AdventHealth (Maitland, FL)
    …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... Enterprise leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. Ensures key stakeholders are… more
    AdventHealth (08/26/25)
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  • Construction Representative 4 ( Contract…

    CDM Smith (Miami, FL)
    …performed by the construction contractors. **Job Title:** Construction Representative 4 ( Contract Compliance Manager ) **Group:** CEI **Employment Type:** Regular ... Transportation and Public Works has awarded our team the contract to provide Construction Engineering and Inspection services for...Where it's a priority that the company takes good care of you and your family. Our employees are… more
    CDM Smith (08/08/25)
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  • Provider Contract /Cost of Care…

    Elevance Health (Tampa, FL)
    …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract /Cost of Care Consultant** **Locations:** This...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/27/25)
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  • Provider Contract Cost of Care…

    Elevance Health (Tampa, FL)
    …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract Cost of Care Consultant -...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (10/03/25)
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  • Medical Economics Manager

    AdventHealth (Maitland, FL)
    …strong organizational skills. The Medical Economics Manager will manage and mentor managed care staff for both the Florida and Multi-State Divisions of ... care contracts, proposals, analyze fee schedules, and determine contract compliance. The Medical Economics Manager must...that achieve net revenue targets developed by the Regional Managed Care Directors and Contract … more
    AdventHealth (08/19/25)
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  • Behavioral Health Care Manager II

    Elevance Health (FL)
    **Behavioral Health Care Manager II** A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, ... is granted as required by law. The **Behavioral Health Care Manager II** is responsible for managing...experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. + For URAC… more
    Elevance Health (09/30/25)
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  • Community And Social Service Manager I

    MyFlorida (Pensacola, FL)
    …of EIC) are appropriately managed and monitored by working with the EIC and contract manager to assure that they are meeting their HIV contract ... COMMUNITY AND SOCIAL SERVICE MANAGER I - 64027926 Date: Oct 2, 2025...(HIV) / Acquired Immune Deficiency Syndrome (AIDS) Surveillance, HIV/AIDS Contract Management, HIV/AIDS Prevention, Early Intervention, and AIDS Drug… more
    MyFlorida (10/03/25)
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  • Clinical Account Manager - Remote

    Prime Therapeutics (Tallahassee, FL)
    …experience in clinical operations, quality, network, pharmacy or project management OR a managed care pharmacy residency. + Proven ability to plan, organize, ... Manages financial aspects of account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed , and EBIDTA targets achieved for the… more
    Prime Therapeutics (09/25/25)
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