- 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
- Elevance Health (Miami, FL)
- **Value Based Contract / Cost of Care ...will be responsible for providing analytical support to the Cost of Care and/or Provider Contracting ... Consultant** The **Value Based Contract / Cost of Care Consultant** will focus on...provider negotiations. + Analyzes claims experience to identify cost of care initiative opportunities. + Measuring… more
- University of Miami (Hialeah, FL)
- …issues. + Measures and monitors contract compliance, supplier performance per contract , service level agreements, and realized cost savings. + Partners with ... please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Sr. Manager, Contract The University of Miami/UHealth Department of Supply Chain… 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
- Elevance Health (Miami, FL)
- … provider network by managing the implementation of strategies for provider recruitment, contract negotiations, and relationship development for large health ... ** Provider Network Management Director** **Location:** This position will...health systems, affiliated providers and supports value based and cost of care initiatives. **How you will… more
- Planate Management Group LLC (Miami, FL)
- …and scheduling of project contractors to meet quality standards, schedule requirements, cost goals, and contract compliance. + Interpret and explain plans ... facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering,… more
- Planate Management Group LLC (Miami, FL)
- …facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, ... quality control, and submittal reviews beyond the expertise of construction managers + Provide quality assurance for ongoing projects, and serve as a mentor to fewer… 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
- Parsons Corporation (Doral, 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 ... a team of professionals to deliver high-quality, innovative, and cost -effective solutions that meet client requirements and regulatory standards. Additionally,… more
- HCA Healthcare (Miami, 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. ... formulary changes as necessary to ensure maximum savings for contract . + You will provide leadership and...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- Elevance Health (Miami, 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
- 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
- Veolia North America (Florida City, FL)
- …This position leads strategic planning, proposal coordination, estimating, sales support, contract development / contract relations, and design review and ... quality product, on time and at the lowest achievable cost consistent with overall business objectives. **PRIMARY DUTIES /...interpersonal and problem resolution skills. Works to identify and provide opportunities for team to learn new skills and… more
- Elevance Health (Miami, 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
- 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
- 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
- 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
- Black & Veatch (Coral Gables, FL)
- …and manages pursuit team expenditures to align with approved budgets. + Participate in cost review and influences team to provide responses with competitive ... controls, construction, procurement, subcontracts, LIFTT) are held accountable to provide deliverables in accordance with proposal development schedule. + Monitors… more
- Planate Management Group LLC (Miami, FL)
- …facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, ... with all relevant regulations, codes, and standards. This is a 12-month contract position, with the possibility of extension based on project requirements. Duties… more