- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Elevance Health (Hollywood, 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
- HCA Healthcare (Fort Lauderdale, FL)
- …ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care , uninsured discounts, and other ... medical coverage that covers many common services at no cost or for a low copay. Plans include prescription...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… 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 ... RESPONSIBILITIES** + Vet and qualify opportunities by obtaining current contract terms to know the estimated value of the...of Risk Management programs + Build out independent managed care and property pipeline targeting pools and JPAs **PERSONAL… more
- Sedgwick (Miami, FL)
- Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… 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 ... in place matches construction plans and is completed in accordance with contract documents and CDM Smith quality standards. Identifying deficiencies in construction… more