- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Manager , Provider Contracting initiates, negotiates, and executes physician, hospital, ... and/or other provider contracts and agreements. The Manager , Provider Contracting works within...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- The Cigna Group (Tampa, FL)
- …will need to work in the office or visit Providers 3 days per week The ** Manager , Provider Contracting Network Management** serves as an integral member of ... the Provider Contracting Team and reports to the...matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION… more
- ManTech (Doral, FL)
- …decisions. + Project Management Professional (PMP) certification or Certified Government Contracting Manager (CGCM). Certification, experience, training with ISO ... **MANTECH** seeks a motivated, career and customer-oriented **Senior** **Business Manager ** to join our team in **Doral, FL** . **Responsibilities include but are… more
- MyFlorida (Tallahassee, FL)
- …external customers. + Works with Chief of Games Administration and Retailer Contracting Manager in evaluating and resolving Security Management Review situations ... CONTRACT ANALYST FLORIDA DEPARTMENT OF THE LOTTERY - DIVISION OF RETAILER CONTRACTING *Open Competitive Opportunity* AGENCY BENEFITS: If hired, as employee of the… more
- LogixHealth (Dania, FL)
- …at LogixHealth, you will work with the department management teams to provide cutting edge solutions that will directly improve the healthcare industry. You'll ... using software or other resource tools + Prepare audit results and keep department manager current of all findings and audits and advise as necessary + Train all… more
- CVS Health (FL)
- …And we do it all with heart, each and every day. As a Senior Manager , you will play a key role in executing the organization's strategy initiatives for Medical ... with external questions on Medical Pharmacy. You will leverage your expertise to provide insight to the Network Management Team on Medical Pharmacy policy and… more
- L3Harris (Palm Bay, FL)
- …minimum of 13 years of prior related experience. + Experience as a Subcontract Manager (SCM) or Procurement Contracting Officer (PCO) in a DoD environment + ... technical SOWs, understand work scope, and hold other functions accountable to provide clarity and eliminate ambiguity in SOW language and technical requirements +… more
- Elevance Health (Miami, FL)
- …Requirements: + a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of education ... as required by law_ The Network Services and Programs, Provider Network Mgr develops the provider network...development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex… more
- Molina Healthcare (St. Petersburg, FL)
- …not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting . + Assist in design and development ... DESCRIPTION** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains… more
- Centene Corporation (New Port Richey, FL)
- …experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
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