- Elevance Health (Miami, FL)
- …within 50 miles one of our Pulse Point locations. The ** Provider Contract / Cost of Care Consultant** will provide analytical support to the Cost ... ** 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
- Elevance Health (Miami, FL)
- ** Provider Contract / Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). ... miles of one of Elevance's Pulse Point locations. **The Provider Contract / Cost of Care...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Miami, FL)
- ** Provider Collaboration Director - Cost of Care ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 ... hour commute of our Miami or Tampa, FL Elevance Health location. The ** Provider Collaboration Director- Cost of Care ** is responsible for local management of… more
- University of Miami (Hialeah, FL)
- …issues. + Measures and monitors contract compliance, supplier performance per contract , service level agreements, and realized cost savings. + Partners with ... please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Sr. Manager, Contract The University of Miami/UHealth Department of Supply Chain… 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
- Molina Healthcare (South Florida, FL)
- …goals of the department and organization. + Oversees the maintenance of all provider contract information and templates and ensures that all negotiated contracts ... and implement provider contracting and service strategies to contain unit cost , improve member access and enhance provider satisfaction with the Plan.… more
- IQVIA (Miami, FL)
- …achieve the delivery of the project's overall objectives to the Sponsor's satisfaction per contract while optimizing speed, quality and cost of delivery and in ... for the clinical delivery (subject recruitment, site management, data integrity) per contract , ensuring consistent use of study tools and training materials and… more
- Elevance Health (Miami, FL)
- …to medical necessary, quality healthcare in a cost -effective setting according to contract . + Serves as lead for Complex Care Conferences, consulting with ... most complex or elevated medical issues. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient… more
- Planate Management Group LLC (Miami, FL)
- …Manages and coordinates OBO CM Project Contractor(s) to ensure work meets quality, schedule, cost , and contract standards. + Interpret and explain contract ... with technical support centers in South East Asia and East Africa, that provide program management and facilities engineering services worldwide. Planate is a small… more
- Elevance Health (Miami, FL)
- …of the Elevance Health, Inc. family of companies, we're creating greater access to care for our members, greater value for our customers, and greater health for our ... Join us and together we will drive the future of federal health care . **The Director of Contracts & Procurement** is responsible for Elevance Health's federal… more
- Parsons Corporation (Miami, FL)
- …for minority, female, disabled, protected veteran and LGBTQ+. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as ... from our deep pool of talent will support this new position to provide our clients with quality designs that incorporate innovation and are delivered on… more
- Actalent (Miami, FL)
- …communications for monthly backlog review with leaders. + Validate project scope, cost , schedule by reviewing contract documents, holding internal meetings and ... administration, financially managing all project aspects, validating project scope, cost , and schedule, and managing subcontractor execution. This role involves… more
- HCA Healthcare (Miami, FL)
- …the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. ... formulary changes as necessary to ensure maximum savings for contract . + You will provide leadership and...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- ChenMed (Miami, FL)
- …you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. ... The Senior Corporate Counsel will provide senior level support to the Chen Family of Companies in a myriad of areas including, but not limited to, to business and… more
- Elevance Health (Miami, FL)
- …programs._ The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and ... Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and coordination on contractual workload involving the… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …to the Pharmacy Director and Part D Manager. Key Responsibilities: + Provide support in obtaining supporting statements and clinical information necessary for ... Enter and maintain accurate prior authorization records + Answer provider calls as this is a provider ...Utilization Management Department with Part B drug requests (eg Cost review, entering Part B authorizations/overrides, where applicable) +… more
- Sedgwick (Miami, FL)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Sedgwick (Miami, FL)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... staff for Auto liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- Elevance Health (Pembroke Pines, FL)
- …with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non-clinical needs of members ... (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care … more
- University of Miami (Miami, FL)
- …meets end users (customer) supply needs and the execution of timely and cost -effective purchases for the organization. The incumbent's focus will be on the timely ... to validate information and finalize a business transaction (price, delivery, contract terms and conditions). + Evaluates departmental requests for contacted items,… more