- 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 (Tampa, FL)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... of our Pulse Point locations. The ** Provider Contract Cost of Care Analyst...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- MyFlorida (Tallahassee, FL)
- …program office liaison, negotiates contract terms and conditions, performing cost analyses of provider budgets. Maintains proper documentation of ... laws, rules, regulations, and guidelines. + Develops and execute provider contracts/competitive solicitations addressing standard contract documents, services… more
- Centene Corporation (Orlando, FL)
- …account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve ... the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. + Completes special projects as...field or equivalent experience. + Two years of managed care or medical group experience, provider relations,… more
- Intermountain Health (Tallahassee, FL)
- …and other sponsored activities at Intermountain. This position will specialize in contract management and is responsible to efficiently and timely draft, review, ... negotiate, and resolve disputes and other contract administration issues with sponsored agreements (industry, federal and state government, non-profits, etc.). The… 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
- RTX Corporation (Largo, FL)
- …& associated work authorizations + Lead PRISM/APEX Earned Value Management cost /schedule control, provide analysis, & support baseline change management ... Role Type: Hybrid Collins Aerospace is looking for a Sr Analyst, Program Cost Controls to join the Operations Finance team in Largo, Florida. This individual… more
- CVS Health (Tallahassee, FL)
- …strategic plans to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements. + ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- MyFlorida (Tallahassee, FL)
- …and findings and developing compliance actions as prescribed in the managed care contract (eg, corrective action plans, sanctions, liquidated damages, etc.) ... focused on advancing Governor DeSantis' vision for Florida's health care system to be the most cost -effective,...in targeted monitoring activities working closely with the Agency's contract managers responsible for the Medicaid managed care… more
- Centene Corporation (Tallahassee, FL)
- …mental and behavioral health needs members to provide high quality, cost -effective healthcare outcomes including personalized care plans and education for ... between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services...RN with BH experience required + For Illinois Youth Care Contract : Master's degree in social sciences,… more
- MyFlorida (Tallahassee, FL)
- …(SMMC) Plan Communications (ie, Dear Managed Care Plan letters, contract interpretations, policy transmittals, and provider alerts); processing Medicaid ... focused on advancing Governor DeSantis' vision for Florida's health care system to be the most cost -effective,...and amendments; Dear Managed Care Plan letters, contract interpretations, policy transmittals, and provider alerts.… more
- HCA Healthcare (Sunrise, FL)
- …We are seeking a Clinical Analyst for our team to ensure that we continue to provide all patients with high quality, efficient care . Did you get into our ... centralized division analysis and tracking of data to include contract compliance, maximizing tier commitments, and documenting savings +...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- MyFlorida (Tallahassee, FL)
- …This is a highly responsible, independent professional position that manages the Contract Monitoring team in the Contract Administration and Oversight Section. ... that ensure contractor accountability and oversight; coordinates, conducts and supervises provider on -site reviews; provides technical expertise in the field of… more
- MyFlorida (Fort Lauderdale, FL)
- …of claims and provider reimbursement issues/complaints to determine managed care plan compliance with contract provisions. Coordinates and performs ... focused on advancing Governor DeSantis' vision for Florida's health care system to be the most cost -effective,...managed care plans related to compliance with contract provisions, provider reimbursement and claims processing… more
- MyFlorida (Tallahassee, FL)
- …Secretary, AHCA is focused on advancing Governor DeSantis' vision for Florida's health care system to be the most cost -effective, transparent, and high-quality ... -EFFECTIVE Leveraging Florida's buying power in delivering high quality care at the lowest cost to taxpayers....carrying out research and policy development related to Managed Care Policy and Contract Development. Specific duties… more
- Humana (Tallahassee, FL)
- … experience and achieving path-to-value goals through analysis and collaboration of provider contract loading and maintenance. The Value-Based Programs Analyst ... us put health first** The Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on… more
- Planate Management Group LLC (Orlando, FL)
- …duration to the Government construction manager and Contract Specialist + Provide potential corrective scopes and cost estimates for modification(s) to the ... government representative or contract specialist/officer and provide technical assistance to assist in answering requests for information (RFI) from construction… more
- MyFlorida (Tampa, FL)
- …and project engagement. There are also many opportunities for continuing education at no cost to the employee. If you are looking to further your education through a ... health of all residents and visitors, and link people to needed health care services. The Florida Department of Health also provides specialized assistance to… more
- Elevance Health (FL)
- …needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract . ... + Will serve as a resource to other BH Care Managers. + Assists with more complex cases and...or any combination of education and experience which would provide an equivalent background. + Current active unrestricted license… more
- Surgery Care Affiliates (Port Saint Lucie, FL)
- …high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care . As part of Optum, we participate in an integrated ... Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support...are going-and the growing career opportunities for YOU. Responsibilities Provide operational support to the facility by performing various… more