- Molina Healthcare (Tampa, FL)
- …management); Delegation Oversight; Provider Network Administration (provider information management and business analyses of national contracts/benefits ... compliance with all contractual and/or regulatory requirements. * Monitors and reports network adequacy for Medicare and Medicaid services. * Develops strategies… more
- Molina Healthcare (Tampa, FL)
- …Produces and monitors weekly/monthly reports to track and monitor compliance with network adequacy requirements. * Develops and implements strategies to minimize ... jobs are responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider … more
- Molina Healthcare (Tampa, FL)
- …provider network and implementation of strategic plans to meet Molina's network adequacy standards. + Clearly and professionally communicates contract terms, ... jobs are responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider … more
- Citigroup (Tampa, FL)
- …The role will leverage technology and/or cyber subject matter expertise, business experience, data analysis techniques, current events, and industry trends and ... being proposed for implementation. + Supports the challenge of the design, adequacy and strength of the control environment associated to technology and cyber… more