- Elevance Health (Miami, 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 (Miami, 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 (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
- University of Miami (Hialeah, FL)
- …contract and service agreements to ensure the terms comply with legal guidelines, contracting principles, and cost constraints. + Help Purchasing and suppliers ... of functions and maintains the setup of Suppliers; accounts, cost centers, and other pertinent data to allow all...and documentation to support audits and internal reviews. + Provide basic guidance to departments on contracting … more
- Molina Healthcare (Miami, FL)
- …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
- Molina Healthcare (Miami, FL)
- …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
- Molina Healthcare (Miami, FL)
- …senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations ... in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment,… more
- CDM Smith (Miami, FL)
- … cost estimates and supporting analysis in coordination with government cost estimators and contracting officers. * Participate in pre-construction meetings, ... and prepares technical reports and/or project status reports. * Provide engineering judgment for field modifications, non-conformance issues, value engineering… more
- EMCOR Group (Miami, FL)
- …advanced electrical systems. Our expertise spans traditional electrical contracting , security solutions, audio-visual integration, wireless networking, and building ... managers, clients, suppliers, and team members.** **Benefits include Family Medical Care Plan, National Electrical Benefit Fund & National Electrical Annuity Plan.**… more
- Black & Veatch (Coral Gables, FL)
- …medium to high-risk profiles * Manage multiple pursuits of differing revenue, contracting structures, complexities and schedules at a given time Professionals in ... leadership, while gaining exposure to all client types, delivery methods, contracting models and project risk profiles. Professionals in this role interface… more
- HCA Healthcare (Aventura, FL)
- …the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. ... 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
- 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. ... Working with limited guidance, the Senior Analyst VBC (Value Based Care ) Performance is responsible for proactively tracking the risk positions within ChenMed and… more
- Molina Healthcare (Miami, FL)
- …for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates. + Assist ... interpolation, and other statistical methodologies to predict future trends in cost , utilization, and performance. + Assist with research, development and completion… more