- Publix (Lakeland, FL)
- **34227BR** **Position Title:** Managed Care Contract Support Specialist **Department:** Pharmacy **Location:** Lakeland, FL **Description:** If you want ... team that plays a pivotal role in the success of Publix Pharmacy and the Managed Care Contract Support Specialist serves as the subject-matter expert in… more
- Bristol Myers Squibb (Tampa, FL)
- …business, financial and government pricing calculation + Lead the monthly and quarterly Managed Care processes that support government pricing calculations + ... leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D...may include the following: Medical, pharmacy, dental and vision care . Wellbeing support such as the BMS… more
- AdventHealth (Maitland, FL)
- …Merriam, KS **The role you will contribute:** This position will provide leadership for managed care strategy, contracting and contract management for the ... Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about...care leadership experience required in managed care with an emphasis on contracting, contract … more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position is On-Site The Behavioral Health Nurse - Managed Care is responsible for coordinating, monitoring, and delivering behavioral health services within a ... managed care environment. This role involves working...rounds, quality improvement initiatives, and utilization review processes. + Support members during transitions of care , including… more
- AdventHealth (Altamonte Springs, FL)
- …**Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee ... Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about...(PE) and works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and… more
- AdventHealth (Maitland, FL)
- …managed care contracting initiatives as directed by AdventHealth leadership; managed care contract review, interpretation and analysis, negotiation, ... the integrity of those contracts. Shows full comprehension of managed care contract language for...assigned to the group. + Assists coworkers within the Managed Care department by providing support… 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; ... is not compromised. * Responsible for timely entry of contract data into the Managed Care...providers and * leadership regarding parameters or limitations of contract fee schedule. * Support and Liaison-15%… more
- AdventHealth (Maitland, FL)
- …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... Whole Person Wellbeing Resources + Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about...to keep them informed of any concerns related to managed care reimbursement and operational contract… more
- CDM Smith (Miami, FL)
- …Department of Transportation and Public Works has awarded our team the contract to provide Construction Engineering and Inspection services for the new South-Dade ... contractor's submittals for completeness, accuracy, and compliance with construction contract documents. Drafting documents for possible construction contract … more
- AdventHealth (Maitland, FL)
- …contractual payment term changes that achieve net revenue targets developed by the Regional Managed Care Directors and Contract negotiators Oversees the both ... development and review of the annual Managed care net revenue budgets to support the...that achieve net revenue targets developed by the Regional Managed Care Directors and Contract … more