- Molina Healthcare (Orlando, FL)
- …years' previous experience in contracting with large specialty or multispecialty provider groups. 1-3 Years Managed Care experience PREFERRED EXPERIENCE : ... Job Summary Molina Health Plan Provider Network Contracting jobs are responsible...with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes… more
- Molina Healthcare (St. Petersburg, FL)
- …contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members. ... Job Description Job Summary Molina Health Plan Provider Network Contracting jobs are responsible...with assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost… more
- Molina Healthcare (Orlando, FL)
- …the health plans on the financial impact. Work independently to support and validate Provider Network contracting and unit cost management activities through ... problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging… more
- CDM Smith (Vero Beach, FL)
- … cost estimates and supporting analysis in coordination with government cost estimators and contracting officers. Participate in pre-construction meetings, ... progress and prepares technical reports and/or project status reports. Provide engineering judgment for field modifications, non-conformance issues, value… more
- Leonardo DRS, Inc. (Fort Walton Beach, FL)
- …Contract Lead to administer and monitor contract performance on government contracts Provide support for the negotiation and administration of agreements between the ... TINA implementation/sweeps under Contract Lead direction Monitor contract performance and cost controls and ensure compliance with contract terms Assist in preparing… more
- Molina Healthcare (Tampa, FL)
- …for Medicaid, Marketplace and Medicare/MMP. Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates. Assist Quality ... interpolation, and other statistical methodologies to predict future trends in cost , utilization, and performance. Assist with research, development and completion… more
- Carnival Cruise Line (Miami, FL)
- …development, delivery, and gap analysis across fleet and shoreside operations. Provide compliance reporting, identifies risks, and proposes mitigation strategies to ... and oversees the 3rd Party Commissioning Framework to ensure quality, compliance, and cost -effective training solutions Here is a summary of what Princess is looking… more
- Elevance Health (Lake Mary, FL)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Tampa, FL)
- ** Cost of Care / Provider Contracting Data Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Tampa, FL)
- …for providing the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Tampa, FL)
- …Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims ... cost of care + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Qualifications:** + Experience providing… more
- The Cigna Group (Sunrise, FL)
- The ** Provider Contracting Manager** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting . ... cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative...**.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex… more
- CVS Health (Tallahassee, FL)
- …and external customers. **Required Qualifications** . 5+ years of experience in value-based care in contracting , provider relations, provider operations ... impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing… more
- HCA Healthcare (Sunrise, FL)
- …Contracting , Healthtrust GPO, specific target vendors, etc. to identify new contracting opportunities and to maximize cost reductions for existing ... Coordinate, communicate and share intelligence with other service line contracting teams to assist and improve upon cost...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- Elevance Health (Miami, FL)
- …**Preferred Skills, Capabilities and Experiences** + Prior experience with Cost of Care , provider network contracting , provider networks, claims, ... an accommodation is granted as required by law._ **Summary** Provide support for CarelonRx including trend and rebate analytics...and rebate analytics and delivering a clear linkage from Cost of Care initiatives to financial statements… more
- Molina Healthcare (Miami, FL)
- …previous experience in contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes… more
- The Cigna Group (Tampa, FL)
- …Negotiator supports the North Florida market and serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager or ... and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of...cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with… more
- Elevance Health (FL)
- …adjustment). + Cost of Care Optimization (clinical analytics, care management platforms, provider performance tools). + Oversee end-to-end solution ... tools). + Deep understanding of medical cost drivers, utilization management, provider reimbursement models, and care quality measures. + Experience leading… more
- Molina Healthcare (FL)
- …out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members. * ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...with assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost… more
- Centene Corporation (Tallahassee, FL)
- …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care .** **Performance Management: Uses data… more
