- Elevance Health (Tampa, 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 (Tampa, 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 (Tampa, FL)
- …for providing the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Tampa, FL)
- …Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims ... cost of care + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Qualifications:** + Experience providing… more
- The Cigna Group (Tampa, FL)
- …to work in the office or visit Providers 3 days per week The **Manager, Provider Contracting Network Management** serves as an integral member of the Provider ... Contracting Team and reports to the AVP, Provider Contracting . This role assists in developing...degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex… more
- Molina Healthcare (St. Petersburg, 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
- Molina Healthcare (St. Petersburg, FL)
- …customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare provider ... negotiating different provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina employees: If you are interested in… more
- Leonardo DRS, Inc. (Largo, FL)
- …proposals + Build and maintain estimating databases, historical cost libraries and cost -learning curves + Provide support for all cost and price ... requests for proposals to identify and assist the proposal team in developing cost estimates. Work closely across functional organizations to develop cost … more
- Fortive Corporation (Tampa, FL)
- …experience is preferred, but not req **About Gordian** Gordian is the world's leading provider of facility and construction cost data, software and services for ... effort to continue to be the premier Job Order Contracting (JOC) consulting agency. JOC is a procurement method...for growth. **About Gordian** Gordian is the world's leading provider of facility and construction cost data,… more
- Molina Healthcare (St. Petersburg, 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 (St. Petersburg, 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
- CHS (Clearwater, FL)
- …from medical providers and covered individuals are reviewed, subject to cost controls and ultimately adjudicated, resulting in an explanation of handling ... Senior Management and clients. * Management of relationships with Preferred Provider Organizations and Reference-Based Pricing vendors which are essential to… more
- Molina Healthcare (St. Petersburg, FL)
- … care in the most effective setting. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * ... clinical criteria competency. * Peer review, medical policy/procedure development, and provider contracting experience. * Strong verbal and written communication… more
- CDM Smith (Tampa, 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
- Molina Healthcare (St. Petersburg, 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
- Molina Healthcare (St. Petersburg, FL)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost -effective based on the severity ... that support ongoing improvements of clinical operations functions and promote quality cost effective health care for Molina members. + Develops initiatives… more
- Molina Healthcare (St. Petersburg, FL)
- …etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, ... through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . + Ensures that… more
- DarkStar Intelligence LLC (Tampa, FL)
- …Services Delivery (SOFGSD) contract in support of USSOCOM. The PM will provide strategic leadership and ensure consistent quality, compliance, and performance across ... with contract terms, USSOCOM directives, and applicable federal regulations. + Provide leadership and oversight to Task Leads, subcontractors, and program staff… more
- EMCOR Group (Tampa, FL)
- …advanced electrical systems. Our expertise spans traditional electrical contracting , security solutions, audio-visual integration, wireless networking, and building ... clients, suppliers, and team members. #miller **Benefits include Family Medical Care Plan, National Electrical Benefit Fund & National Electrical Annuity Plan.**… more
- Black & Veatch (Wimauma, FL)
- …together we are building a world of difference. **Company :** Overland Contracting Inc **Req Id :** 112417 **Opportunity Type :** Staff **Relocation eligible ... related to drawings and information, schedule, quality, quantity tracking, cost reporting, and safety. + Monitors discipline construction productivity, progress,… more