- Elevance Health (Tampa, FL)
- ** Provider Contract / Cost of Care Consultant** **Locations:** This role requires associates to be in-office **1-2** days per week, fostering collaboration ... NOTE: This position is not eligible for current or future VISA sponsorship._ The ** Provider Contract / Cost of Care Consultant** provides analytical… more
- CVS Health (Tallahassee, FL)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + Minimum 3+ ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Molina Healthcare (St. Petersburg, FL)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating ... Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with...5-7 years contract -related experience in the health care field including, but not limited to, provider… more
- The Cigna Group (Tampa, FL)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- Communities Connected for Kids (Port Saint Lucie, FL)
- …with law and policy. + Maintains documentation of all activities in official contract files. + Conducts cost -benefit analyses for contracted services. Evaluates ... and outcomes are submitted timely and in compliance with contract terms. + Ensures provider compliance with...or oversight of child welfare program delivery. Experience with contract management systems and Community-Based Care initiative.… more
- The Cigna Group (Sunrise, FL)
- …improve total medical cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with total medical cost ... + Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. +...and managing relationships + Understanding and experience with managed care , and provider business models a plus… more
- City of Jacksonville (Jacksonville, FL)
- …than five (5) year combination of education, training, and/or experience in professional contract administration. 07 Provide a detailed description (at least 3-4 ... year of employment? Do you want low and no cost health insurance options? If you answered "yes" to...than two (2) years in preparation and analysis of contract specifications. 10 Provide a detailed description… more
- Elevance Health (FL)
- …and lead enterprise-wide initiatives to include local cost of care and trend management, innovative provider contracting, implementation of cutting-edge ... **How you will make an impact:** + Delivers competitive cost of care trends throughout New Jersey,...Network provider and contracting experience including Value-Based Care , Fee-for-Service and unit price contract experience.… more
- Centene Corporation (Orlando, FL)
- …account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve ... degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims,… more
- CDM Smith (Miami, FL)
- …County Department of Transportation and Public Works has awarded our team the contract to provide Construction Engineering and Inspection services for the new ... contractor's submittals for completeness, accuracy, and compliance with construction contract documents. Drafting documents for possible construction contract … more
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