- AdventHealth (Altamonte Springs, FL)
- … Development Director and internal teams to ensure an efficient process by which network adequacy information is gathered and reported. The Network ... of network -related initiatives and strategies that ensure network adequacy , sufficiency, and efficiency. Works closely...they pertain to network providers. + Assist Network Development Director to identify contact information … more
- CVS Health (Tallahassee, FL)
- …systems group/system providers. + Recruit providers as needed to ensure attainment of network expansion and adequacy targets. + Responsible for identifying and ... day. **Position Summary** In this Florida Medicaid individual contributor role, the Network Management Senior Manager will negotiate, execute, and conduct high level… more
- CVS Health (Tallahassee, FL)
- …strategies and tactics around VBC risk deals to ensure attainment of network expansion and adequacy targets. + Collaborates cross-functionally with various ... and strategic provider relationships as part of the VBC Business Development team. You will work collaboratively across the... Development team. You will work collaboratively across the Network organization to ensure speed to market and to… more
- Molina Healthcare (Miami, FL)
- …management); Delegation Oversight; Provider Network Administration (provider information management and business analyses of national contracts/benefits ... compliance with all contractual and/or regulatory requirements. * Monitors and reports network adequacy for Medicare and Medicaid services. * Develops strategies… more
- Molina Healthcare (Orlando, FL)
- …Produces and monitors weekly/monthly reports to track and monitor compliance with network adequacy requirements. * Develops and implements strategies to minimize ... jobs are responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider … more
- EverBank (Jacksonville, FL)
- …and industry standards. + Documents the audit results which include comments on the adequacy and effectiveness of the controls and processes being audited. + May act ... as the lead expert in the group on critical business areas, processes, systems and/or regulations. + Reviews and evaluates more complex control structures to… more
- CVS Health (Tallahassee, FL)
- …Health providers as needed to ensure attainment of network expansion and adequacy targets for all lines of business (Medicare, commercial etc.). + ... negotiations with solo and group Behavioral Health providers for all lines of business (Medicare, commercial etc.). + Manages contract performance in support of … more
- Fresenius Medical Center (Jacksonville, FL)
- …patient knowledge of diet and kidney disease, and offer patient-specific, detailed information about nutritional status, adequacy measures and results, fluid ... Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a… more
- Molina Healthcare (Tampa, FL)
- …provider network and implementation of strategic plans to meet Molina's network adequacy standards. + Clearly and professionally communicates contract terms, ... jobs are responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider … more
- The ODP Corporation (Boca Raton, FL)
- …for prioritizing internal audit work and leading audit projects that assess adequacy of information technology general controls (ITGCs), and developing ... of the company as defined by projects assigned and relationships owned with key business contacts at The ODP Corporation. Serve as a business liaison/ business… more
- NextEra Energy (Juno Beach, FL)
- …will embody the following attributes** + Possesses either a Masters degree in business or engineering + At least five years of hands-on experience in supporting ... the Company + Strong executive presentation skills + Proficient in network infrastructure, communication protocols, and web technology + Exceptional analytical… more
- Citigroup (Tampa, FL)
- …The role will leverage technology and/or cyber subject matter expertise, business experience, data analysis techniques, current events, and industry trends and ... being proposed for implementation. + Supports the challenge of the design, adequacy and strength of the control environment associated to technology and cyber… more
- Teva Pharmaceuticals (Weston, FL)
- …facilitates the comprehensive reviews of customer data, determining overall business customers are engaged in. Supports general compliance activities facilitated ... prioritization of risks through reporting measures + Evaluates the adequacy of the company's internal control framework in addressing...The internal career site is available from your home network as well. If you have trouble accessing your… more