• Provider Contract /Cost of Care

    Elevance Health (Tampa, FL)
    …50 miles of one of Elevance's Pulse Point locations. **The Provider Contract /Cost of Care Analyst Sr.** is responsible for analytical support to the Cost of ... advice and analytic support to Medical Directors, contract negotiators and management on cost of care...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as… more
    Elevance Health (09/22/24)
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  • Value Based Contract / Cost of Care

    Elevance Health (Tampa, FL)
    …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Value Based Contract / Cost of Care Consultant**...Base Contracts and will be responsible for providing analytical support to the Cost of Care and/or… more
    Elevance Health (09/11/24)
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  • Sr Care Manager - Short Term…

    IQVIA (Tampa, FL)
    **S** **r Care Manager** As the only global provider of...a **remote** position. This role will be a short-term contract role with IQVIA managed by an ... Plus Pharmacy, an IQVIA company, is seeking a Sr Care Manager Responsibilities will vary by program and its...and coverage eligibility + Provide prior authorizations and appeals support + Assist patients with the enrollment process for… more
    IQVIA (09/30/24)
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  • Care Manager - Short Term Contract

    IQVIA (Tampa, FL)
    Care Manager As the only global provider of...a **remote** position. This role will be a short-term contract role with IQVIA managed by an ... AllCare Plus Pharmacy, an IQVIA company, is seeking a Care Manager! Responsibilities will vary by program and its...and coverage eligibility + Provide prior authorizations and appeals support + Assist patients with the enrollment process for… more
    IQVIA (09/29/24)
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  • Reimbursement Specialist/Medical Biller - Call…

    IQVIA (St. Petersburg, FL)
    …cross functionally. This is a **remote** position. This role will be a short-term contract role with IQVIA managed by an external agency, with the opportunity ... priorities Assist with projects or assignments as directed by Directors to support departmental priorities Track, assist in research, trend, and communicate issues… more
    IQVIA (09/30/24)
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  • Senior Customer Care Supervisor

    Mass Markets (Tampa, FL)
    …for a variety of commercial, state, and federal projects, you will assist and support them with your leadership and expertise. As the team coach and leader, you ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
    Mass Markets (07/17/24)
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  • Desktop Support in St Petersburg, Florida

    Virtual Service Operations (St. Petersburg, FL)
    …leverages numerous other partner relationships so as to provide our customers with optimal support . Additionally, we take pride in taking care of our employees. ... Desktop Support in St Petersburg, Florida St Petersburg, FL...onsite + Please note that pursuant to a government contract , this specific position requires US citizenship status What… more
    Virtual Service Operations (07/20/24)
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  • Lead Director Quality Management

    CVS Health (Tampa, FL)
    …senior management. Required Qualifications : * 5 to 7 years' clinical and/or managed care experience in the healthcare industry and quality management. * ... what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at...in a senior QI role in child/adolescent behavioral health managed care is required. Master's degree preferred… more
    CVS Health (09/27/24)
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  • Physician (Radiation Oncology)

    Veterans Affairs, Veterans Health Administration (Tampa, FL)
    … for patients within the Medical Center and VISN. Has a basic understanding of managed care practices, including health care finance, billing, coding, and ... to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)… more
    Veterans Affairs, Veterans Health Administration (08/29/24)
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  • Network Relations Consult (US)- 9

    Elevance Health (Tampa, FL)
    …and medical policy, reimbursement and provider utilization patterns. + Conducts seminars to support the understanding of managed care policies and ... providers as needed. + Researches, analyzes and recommends resolution for contract dispute, non-routine claim issues, billing questions and other practices. +… more
    Elevance Health (09/19/24)
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  • Director, Network Development & Maintenance

    Centene Corporation (Tampa, FL)
    …analysis of claim trend data and/or market information to derive conclusions to support contract negotiations. + Conduct periodic review of provider contracting ... focus is on target with overall Company strategy. + Support market expansion and M&A activities by leading provider...field or equivalent experience. 7+ years of experience in managed care network development. 3+ years of… more
    Centene Corporation (09/24/24)
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  • Bilingual Call Center Representative (Fluent…

    Mass Markets (Tampa, FL)
    …CENTER JOB OPENINGS We are looking for bilingual call center representatives to support inbound customer service, help desk, technical support , and back-office ... processing representatives for commercial and public sector support positions . In this roles, you will handle...the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital… more
    Mass Markets (07/17/24)
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  • Bilingual Spanish Call Center Representative…

    Mass Markets (Tampa, FL)
    …We are looking for full-time and part-time bilingual customer service representatives to support inbound projects for a wide variety of clients. In this role, you ... and enjoy helping others? This position supports customer service, technical support , and customer sales interactions. You would interact with customers across… more
    Mass Markets (07/17/24)
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  • Principal Consultant, Utility Customer Programs…

    Black & Veatch (Tampa, FL)
    …needed to various client sites. **Key Responsibilities** + Lead and support business development and sales activities including delivering sales presentations ... Understanding of the trends in the Customer space + Contract Management + Project Management + Proven delivery capability...+ Bachelor's Degree or relevant work experience + Has managed significant engagements + 10+ years in a business/consulting… more
    Black & Veatch (08/29/24)
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  • Call Center Operations Manager

    Mass Markets (Tampa, FL)
    …SECTOR CLIENTS Our team is looking for experienced call center leaders to support commercial and public sector clients. Managers in this role coach and develop ... in call center operations management is required, and customer service, technical support , or back-office experience is preferred. This is a full-time, local,… more
    Mass Markets (07/17/24)
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  • Collections Representative

    Mass Markets (Tampa, FL)
    …experience. Prior contact center experience, experience in customer service, tech support , sales, or back-office support is required. POSITION RESPONSIBILITIES ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
    Mass Markets (07/06/24)
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  • Entry-Level In-Person Customer Service…

    Mass Markets (Tampa, FL)
    …OVERVIEW We are looking for Bilingual Customer Service Representatives to support inbound calls and walk-up customer inquiries regarding Tampa Hillsborough ... position. Experience in customer service, problem solving, inside sales, or back-office support is a plus. Candidates should be highly reliable, have great… more
    Mass Markets (07/06/24)
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