- Elevance Health (Tampa, FL)
- ** Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Tampa, FL or Nashville, TN. The ** 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 ... Tampa, FL or Nashville, TN. 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
- Elevance Health (Tampa, 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
- Elevance Health (Tampa, FL)
- ** Provider Collaboration Director - Cost of Care ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 ... hour commute of our Miami or Tampa, FL Elevance Health location. The ** Provider Collaboration Director- Cost of Care ** is responsible for local management of… more
- Elevance Health (Tampa, FL)
- …to medical necessary, quality healthcare in a cost -effective setting according to contract . + Serves as lead for Complex Care Conferences, consulting with ... most complex or elevated medical issues. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient… more
- HCA Healthcare (Brooksville, FL)
- …seeking a(an) Clinical Resource Director for our team to ensure that we continue to provide all patients with high quality, efficient care . Did you get into our ... for clinical evidence and benefit; discuss financial considerations to include contract compliance, cost and reimbursement; identify opportunities to standardize… more
- Parsons Corporation (Tampa, 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
- CVS Health (Tampa, FL)
- …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 ... accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** At Aetna, our health… more
- Elevance Health (Tampa, FL)
- …programs._ The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and ... Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and coordination on contractual workload involving the… more
- Elevance Health (Tampa, FL)
- …most complex or elevated medical issues. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient ... member access to medical necessary, quality healthcare in a cost effective setting according to contract . +...or any combination of education and experience, which would provide an equivalent background. + Prior managed care… more
- Elevance Health (Tampa, FL)
- …for more complex medical transplant issues. + Ensures medically appropriate, high quality, cost effective care by utilizing the applicable medical policy and ... member access to medically necessary, quality healthcare in a cost effective setting according to contract . +...and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management… more
- AdventHealth (Riverview, FL)
- …also includes a 100,000 square foot, four-story Medical Office Building that will provide community members convenient access to expert care . . AdventHealth ... Provides drug utilization for DUE and formulary subcommittees. Identify vendors to provide generics at lowest cost , responsible for annual inventory, including… more
- HCA Healthcare (Brandon, 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. ... staff members. + Maintains knowledge base and utilization of contract pricing, keeping current. + Responsible for and oversees...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- Sedgwick (Tampa, 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 (Tampa, 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
- Elevance Health (Tampa, FL)
- …and to promote effective use of resources. Ensures medically appropriate, high-quality, cost -effective care through assessing the medical necessity of inpatient ... contracts. + Ensures member access to medical necessary, quality healthcare in a cost -effective setting according to contract . + Consult with clinical reviewers… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) ... board certification) Malpractice: Free liability protection with tail coverage provided Contract : No Physician Employment Contract and no significant restriction… more
- Elevance Health (Tampa, FL)
- …and to promote effective use of resources. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient ... member access to medical necessary, quality healthcare in a cost effective setting according to contract . +...and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management… more
- Elevance Health (Clearwater, 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
- Sedgwick (Tampa, 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