- Humana (Tallahassee, FL)
- …and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts. ... The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of… more
- CVS Health (Tallahassee, FL)
- …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... strategic, traditional contracts and value-based relationships. Role is for national behavioral health contracting and strategic partnerships** Key deliverables… more
- CenterWell (Miami, FL)
- …+ A minimum of two years experience in Healthcare or managed care with Provider Contracting , Network Management or Provider Relations experience + Proven ... part of our caring community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with… more
- AdventHealth (Maitland, FL)
- …payer contracts. Duties as assigned include leading strategic managed care contracting initiatives as directed by AdventHealth leadership; managed care contract ... in strong working relationships with department staff, various hospital and provider staff, and leadership at all AdventHealth Florida markets, providers, and… more
- CenterWell (Plant City, FL)
- …Assistant supports a Center Administrator in the planning and directing of professional and support personnel who provide outpatient care to patients ... an impact** **Requirements:** + Progressive experience in managed care contracting and / or provider relations. +...Please be aware that applicants may be asked to provide their Social Security Number, if it is not… more
- HCA Healthcare (Panama City, FL)
- …to facility-level physician credentialing, business development, and provider relations in contracting issues + You will provide medical consultation on ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- HCA Healthcare (Tallahassee, FL)
- …medical director services to facility-level physician credentialing, business development, and provider relations in contracting issues. + Provides medical ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...the facility. + Assembles regional physician advisory panels to provide ongoing feedback to HCA senior management, and serves… more
- Highmark Health (Tallahassee, FL)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
- CenterWell (Tallahassee, FL)
- …our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate ... network management, and payment frameworks (eg capitation, partial risk, direct contracting ) + Population health minded physician with an understanding of, and… more
- Maxim Healthcare Services (Gainesville, FL)
- …Operations Manager leads the quality improvement process, program development, and contracting with new customers while maintaining compliance with all reimbursement ... and Procedures + May serve as a member of the Governing Body and Professional Advisory Board + Consistently evaluates services and programs, annual review of Policy… more
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