- Elevance Health (Tampa, FL)
- …within 50 miles one of our Pulse Point locations. The ** Provider Contract / Cost of Care Consultant** will provide analytical support to the Cost ... ** Provider Contract / Cost of Care Consultant**...or any combination of education and experience, which would provide an equivalent background. **Preferred skills, capabilities, and experiences:**… more
- Elevance Health (Tampa, FL)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... of our Pulse Point locations. 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)
- …for autism and depression, and insightful analytics to improve the delivery of care ._ **Behavioral Health Care Manager II - Applied Behavioral Analysis** ... Must have a Clinical License Or BCBA certification The **Behavioral Health Care Manager II** is responsible for managing psychiatric and applied behavioral analysis,… more
- Pfizer (Tampa, FL)
- …require Pfizer to provide government agencies with information such as a health care provider 's name, address and the type of payments or other value ... plans that support the organization's strategic objectives and drive cost savings, process improvements, and innovation + **Leads /...in line with industry best practices + **Lead the** contract drafting / redlining process + **Lead the** guidance… more
- Parsons Corporation (Tampa, 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
- CVS Health (Tampa, FL)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** At Aetna, our health… more
- Elevance Health (Tampa, FL)
- …state law and contract ; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health ... **How You Will Make an Impact:** + Performs quality audits to ensure care plans designed optimize members physical, behavioral, and social needs. + Assists in… more
- Elevance Health (Tampa, FL)
- …Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality, cost effective care throughout the medical management process. + ... membership growth by developing effective engagement programs and building strong provider relationships in the Florida market. America's 1st Choice operates as… more
- Belcan (Oldsmar, FL)
- …and implement process improvements to enhance project delivery and efficiency. . Cost Estimating: Provide FFP proposal management leadership to the ... in aerospace electronics, program management, FFP proposal development and FFP contract execution. The Senior Program Manager will ensure that projects are… 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
- Sedgwick (Tampa, 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
- Sedgwick (Tampa, 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 ... technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …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) ... board certification) Malpractice: Free liability protection with tail coverage provided Contract : No Physician Employment Contract and no significant restriction… more
- Elevance Health (Tampa, 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
- HCA Healthcare (Tampa, FL)
- …ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care , uninsured discounts, and other ... medical coverage that covers many common services at no cost or for a low copay. Plans include prescription...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Elevance Health (Tampa, FL)
- …cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + The process does not involve clinical ... of position, as required by applicable state law and contract ; develops, monitors, and revises the member's service plan...member's needs, with the goal of optimizing member health care across the care continuum. + Responsible… more
- CDM Smith (Tampa, FL)
- …matches construction plans. Identifies deficiencies in constructed structures. Reviews contract terms and conditions. Ensures construction timelines, costs, and ... materials are in compliance with contract terms and conditions. Provides technical guidance and training...the work of more junior staff. Documents deficiencies, expected cost overruns, materials issues and any other related construction… more
- Black & Veatch (Tampa, FL)
- …in, the construction QA/QC program. Verify that the QA/QC requirements of the contract are being met. Promote communications between the construction team (GC and ... analyzes contractor's project schedule with direction . + With limited direction, interprets contract documents for QA/QC . + May assist with limited direction in… more
- Black & Veatch (Tampa, FL)
- …memos, completing studies, detailed designs, and specifications, collaborating to complete cost estimates, and preparing contract documents * Participation in ... non-standard design solutions to better serve clients project specifications * Provide leadership, guidance, and mentorship to less experienced engineers *… more
- Elevance Health (Lakeland, FL)
- …responsibility for the member's case, as required by applicable state law and contract , contributes to the LTSS care coordination process by performing ... in conjunction with the RN, member and the health care team, to ensure cost effective and...or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted LPN/LVN, LSW,… more