- CVS Health (Tallahassee, FL)
- …claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. **Required Qualifications** + Minimum 3+ ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… 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
- CVS Health (Tallahassee, FL)
- …demonstrates a broad, strategic approach to problem solving + 3+ years of Provider Contract Negotiation experience + 5+ years of Healthcare Industry experience ... role will create, lead and manage vendors to the contract SLAs, performance guarantees and provide insight...+ Demonstrated knowledge of medical cost drivers and managed care industry +… more
- Molina Healthcare (Tampa, FL)
- …care , or other health care field. **Required Experience** 3 - 5 years provider contract negotiation experience in the health care field including, but ... QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… more
- HCA Healthcare (Fort Lauderdale, FL)
- …Division Physician Contract Admin for our team to ensure that we continue to provide all patients with high quality, efficient care . Did you get into our ... Beach County and the Treasure Coast. We work to provide a higher level of care . Our...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- Molina Healthcare (Orlando, FL)
- …Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Utilizes standardized contract ... sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. *...concert with Director. * Oversees the maintenance of all Provider and payer Contract Templates. Works with… more
- City of Jacksonville (Jacksonville, FL)
- Contract Administration Analyst Print (https://www.governmentjobs.com/careers/jacksonvillefl/jobs/newprint/4864290) Apply Contract Administration Analyst ... year of employment? Do you want low and no cost health insurance options? If you answered "yes" to...Office of Administrative Services Department is actively seeking a Contract Administrative Analyst. Did you know as a City… more
- Centene Corporation (Tampa, FL)
- …account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve ... degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims,… more
- Elevance Health (Tampa, FL)
- …The ** Provider Network Management Director** is responsible developing provider networks through contract negotiations, relationship development, and ... ** Provider Network Management Director** _Location: Alternate locations may...preferred. + Advanced knowledge in SPS, Contraxx, PLM2, and Cost of Care (CofC) strongly preferred. +… more
- UMB Bank (Tallahassee, FL)
- …Risk, Compliance, Information Security, Finance, and Business Operations to ensure contract terms meet applicable standards and adequately protect UMB interests. You ... renewals, software license, maintenance, support, subscriptions, and/or other third-party contract commitments. Working for UMB is about collaborative spirit with… more
- Cayuse Holdings (Tallahassee, FL)
- …offering a varied set of business lines, workforces, and credentials to provide solutions for government clients throughout the world. Our companies have years ... projects, and commitment to excellence. **The Work** The Cayuse Government Contract Pricing Specialist is a Pricing and Estimating professional who assesses… more
- Elevance Health (FL)
- …trends and the impact of business programs. This position will configure our value-based care platform in accordance with value-based contract terms, run ad hoc ... Provider Economics Consulting Analyst Senior **Location:** This position...enable automated runs and reconciliations + Identification of potential cost of care savings opportunities through complex… 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
- Crane Aerospace & Electronics (Fort Walton Beach, FL)
- **Test Engineer- Electronics- Contract to Hire** Location **FL, Fort Walton Beach** Department **Engineering** Employment Type **Temp-to-Hire Contractor** **Crane ... and Electronics** has an exciting opportunity fora **Test Engineer ( contract to hire)** at our **Fort Walton Beach, FL...upgrades, as well as performs extensive analyses to ensure cost , quality, and customer requirements. The Test Engineer also… more
- Molina Healthcare (Orlando, FL)
- …with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. + Maintains contractual relationships with ... systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with … more
- AdventHealth (Tampa, FL)
- … care coordination through the continuum of care . The Social Work Care Manager ensures efficient and cost -effective care through appropriate resources ... **GENERAL SUMMARY:** The Social Work Care Manager intervenes with patients who have complex...meet identified need . Serves as a resource to provide information and intervention related to treatment decisions, terminal… more
- MyFlorida (Tallahassee, FL)
- …disburses supplemental payments to Medicaid providers. This position is responsible for reviewing provider cost reports for compliance with cost reporting ... 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… 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 ... decisions. COST -EFFECTIVE Leveraging Florida's buying power in delivering high quality care at the lowest cost to taxpayers. Position Overview: This is… more
- Omnicell (St. Petersburg, FL)
- …innovation designed to optimize clinical and business outcomes across all settings of care . We strive to be the healthcare provider 's most trusted partner ... **Sr Commodity Manager - EMS & Contract Manufacturing** The job function of the **Sr...decision for Omnicell + **Direct:** Understanding of key component cost structure with detailed knowledge of costed BOM management… 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...care and quality delivery for members in a cost -effective manner + Performs other duties as assigned +… more