- Elevance Health (Tampa, FL)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... granted as required by law. 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)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting Data...contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals.… more
- Molina Healthcare (St. Petersburg, FL)
- …as appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract , network development and management, or project ... provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare... Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare… more
- Molina Healthcare (St. Petersburg, FL)
- …Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- Molina Healthcare (St. Petersburg, FL)
- …supports assigned contracts with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes reports according to ... Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… 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
- RTX Corporation (Largo, FL)
- …Estimate-at-Completion (EAC) development. + Establish and maintain program logs (Work Authorization, Contract Mod Log, R&Os). + Provide financial guidance to ... only US citizens are authorized to access information under this program/ contract . **Security Clearance:** None/Not Required At Raytheon, the foundation of… more
- Molina Healthcare (St. Petersburg, FL)
- …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job ... JOB DESCRIPTION Job Summary Provides support for care management/ care coordination activities and collaborates...licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. * Valid… more
- Molina Healthcare (St. Petersburg, FL)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. * Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Molina Healthcare (St. Petersburg, FL)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. + Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Wolters Kluwer (Tampa, FL)
- …technology (HIT) provider working on the front lines of clinical care . Our talented team of physician and pharmacist editors, technologists, and product ... solutions that measurably improve clinical effectiveness by helping healthcare professionals provide optimal care for their patients. **Wolters Kluwer Health's… 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 ... talk. **Primary Responsibilities:** + Primary responsibility will be to provide support and training of all Gordian products and...for growth. **About Gordian** Gordian is the world's leading provider of facility and construction cost data,… more
- WestCare Foundation (Pinellas Park, FL)
- …of capturing financial information, development of financial accounting systems, and increased contract , cost center and fund reportability + Accomplish tasks ... this position will be responsible for the accounting, budgeting, grant and contract management for WestCare Foundation and its related entities. Essential Job… more
- Elevance Health (Tampa, FL)
- …guidelines. + Supports quality improvement activities. + May assist with implementation of cost of care initiatives. + May attend meetings to review UM ... determination, accurate interpretation/application of benefits, corporate medical policy and cost efficient, high quality care ; manages consultation with… more
- HCA Healthcare (St. Petersburg, 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. ... for clinical evidence and benefit; discuss financial considerations to include contract compliance, cost and reimbursement; identify opportunities to standardize… more
- Molina Healthcare (St. Petersburg, FL)
- …management standardization, and cost -effective quality outcomes in a managed care environment. Contributes to overarching strategy to provide quality and ... and implementation of behavioral health medical policies, peer review processes, provider education, and contract reviews. + Represents the organization… more
- Bristol Myers Squibb (Tampa, FL)
- …managers, and other stakeholders to ensure clear communication and understanding of contract terms and conditions. + Provide regular documented updates on ... environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work… more
- Paychex (St. Petersburg, FL)
- …ADA & FML programs to ensure legal compliance, limit organizational liability, and provide case management for employees. Supports all functions of the leave of ... improve efficiency and reduce lost time frequency, duration, and associated cost . Anticipates trends and integrates best practices. Collaborates with key internal… more
- Elevance Health (Tampa, FL)
- …more complex medical transplant issues. + Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient ... 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
- Belcan (Oldsmar, FL)
- …for clients across aerospace, defense, and commercial sectors. o Manage multiple contract types (fixed-price, cost -plus, T&M) and ensure contractual obligations ... exceptional ability to manage client-driven scope changes while maintaining schedule, cost , and quality commitments. The ideal candidate will have 5-10 years… more