- Molina Healthcare (Tampa, FL)
- …AVP, Provider Network Management & Operations, oversees development and implementation of provider network and contract strategies, identifying those ... throughout the year; utilizes and oversees departmental training on the enterprise contract management system (Emptoris). * Directs the preparation of provider… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare/MMP ... all Medicare lines of business the annual Medicare and Medicare- Medicaid Plan Applications and Plan Benefit Package design, as...Support Medicare and MMP line of business for upcoming contract year business readiness. This position also needs to… more
- Molina Healthcare (Tampa, FL)
- …and creates projects to address opportunity from root cause analysis through implementation * Oversees vendor FWA case management including tracking on ... development policy and procedure maintenance and departmental compliance and implementation . Responsibilities may include responding to external audits, coordination… more
- Molina Healthcare (Tampa, FL)
- …of the organization's business and industry requirements. * Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO ... of MHI's business process improvement methodology and in the implementation of a business process improvement capability. **Knowledge/Skills/Abilities** *... contract compliance requirements that impact processes. * Works with… more
- Molina Healthcare (Tampa, FL)
- …+ Experience participating in value-based program & contract design and implementation for marketplace, Medicaid and/or Medicare + Experience in a complex ... The Regional Manager Value Based Programs plays a critical role in the implementation of value-based programs and contracts by supporting both the local markets and… more