- Elevance Health (Tampa, FL)
- ** Provider Contract Cost of Care Consultant - VBC** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... granted as required by law. The ** Provider Contract Cost of Care Consultant...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Molina Healthcare (Miami, FL)
- …with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities ... cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads...department and organization. * Oversees the maintenance of all Provider Contract templates including VBP program templates.… 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
- Centene Corporation (New Port Richey, FL)
- …account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- Molina Healthcare (St. Petersburg, FL)
- …Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- Molina Healthcare (FL)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- Planate Management Group LLC (Florida City, FL)
- …facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, ... US federal agencies, all over the world. We are seeking an experienced Contract Specialist II to join our team in providing professional acquisition support services… more
- CVS Health (FL)
- …issues into applicable systems. **What you will do** + Maintains and updates provider demographic and contract information in appropriate systems to support ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- University of Miami (Hialeah, FL)
- …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Contract Specialist 2 The University of Miami/UHealth ... Chain has an exciting opportunity for a Full Time Contract Specialist 2 to work at the UHealth Medical...the terms comply with legal guidelines, contracting principles, and cost constraints + Help Purchasing and suppliers with technical… more
- Planate Management Group LLC (Florida City, FL)
- …other US federal agencies, all over the world. We are seeking a skilled Contract Specialist I to provide professional acquisition support services within the ... facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering,… more
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