- AdventHealth (Maitland, FL)
- …Hybrid on-site** **The role you'll contribute:** **This position is responsible for physician contract review and interpretation; as well as, the building and ... physician group billing and system departments to resolve contract load issues and identify trends to ensure ...contract that could have a negative impact on contract operations and administration . * Provides follow-up… more
- AdventHealth (Maitland, FL)
- …This position is responsible for managing the AdventHealth Florida and Multi-state Physician Contract Administration team. This team is responsible ... documentation for record keeping of contracts and correspondence by Contract Administration for tracking and historical purposes....that may have a direct or indirect impact on physician contract operations or contract … more
- AdventHealth (Maitland, FL)
- …to contract strategy and action. Collaborates with the Managed Care contract administration team to provide timely notification and follow-up as appropriate ... even better. **Shift** : Monday- Friday Full Time 8am-5pm hybrid (3 days onsite) **Job Location** : Maitland, FL...+ Minimum of 5 years training or experience in contract negotiations and/or contract administration … more
- Sedgwick (Tallahassee, FL)
- …Insurance Claims Adjuster I Workers Compensation I CA experience required I Hybrid **PRIMARY PURPOSE** **:** To analyze mid- and higher-level workers compensation ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- AdventHealth (Altamonte Springs, FL)
- … contract strategy and action. + Collaborates with the Managed Care contract administration team to provide timely notification and follow-up as appropriate ... that **together** we are even better. **Shift** : Monday- Friday 8am-5pm Hybrid (Monday Tuesday Wednesday Onsite) **Job Location** : Maitland, FL **The role… more
- Centene Corporation (Tampa, FL)
- …must reside in Florida** **Position Purpose:** Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi specialty groups) and ancillary ... with internal departments and contracted providers to implement and maintain contract compliance + May require up to 25% travel **Education/Experience:** Bachelor's… more
- AdventHealth (Maitland, FL)
- …that **together** we are even better. **Shift** : Monday-Friday 8am-5pm hybrid (Monday, Wednesday, Thursday Onsite) **Job Location** : Maitland, FL **The ... technical, analytical, and problem-solving skills to identify, quantify, and present contract compliance violations. He/she will perform extensive review of … more
- Centene Corporation (Spring Hill, FL)
- …Purpose:** Establishes and fosters a healthy working relationship between community physician and small provider practices and WellCare. Educates providers and ... guidance form Senior Quality Practice Advisors and management, educates community physician and small provider practices in appropriate HEDIS measures, medical… more
- The Cigna Group (Tampa, FL)
- …**Tampa, FL market** - Candidate will be required to live in the Tampa, FL area ** Hybrid position** - will need to work in the office or visit Providers 3 days per ... hospitals and other providers (eg, Hospital systems, Ancillaries, and large physician groups). + Builds relationships that nurture provider partnerships and seeks… more