- Elevance Health (Tampa, FL)
- ** Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Tampa, FL or Nashville, TN. The ** 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)
- …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 ... Tampa, FL or Nashville, TN. 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)
- …to medical necessary, quality healthcare in a cost -effective setting according to contract . + Serves as lead for Complex Care Conferences, consulting with ... most complex or elevated medical issues. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient… more
- Elevance Health (Tampa, FL)
- …of the Elevance Health, Inc. family of companies, we're creating greater access to care for our members, greater value for our customers, and greater health for our ... Join us and together we will drive the future of federal health care . **The Director of Contracts & Procurement** is responsible for Elevance Health's federal… 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
- Overland Contracting (Wimauma, FL)
- …and contract administration training. Preferred Skills: + Budget and Cost Control Skills + Industrial relations knowledge for recognizing and resolving potential ... related to drawings and information, schedule, quality, quantity tracking, cost reporting, and safety. + Monitors discipline construction productivity, progress,… more
- AdventHealth (Riverview, FL)
- …also includes a 100,000 square foot, four-story Medical Office Building that will provide community members convenient access to expert care . . AdventHealth ... Provides drug utilization for DUE and formulary subcommittees. Identify vendors to provide generics at lowest cost , responsible for annual inventory, including… more
- Elevance Health (Tampa, FL)
- …most complex or elevated medical issues. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient ... member access to medical necessary, quality healthcare in a cost effective setting according to contract . +...or any combination of education and experience, which would provide an equivalent background. + Prior managed care… more
- Elevance Health (Tampa, FL)
- …for more complex medical transplant issues. + Ensures medically appropriate, high quality, cost effective care by utilizing the applicable medical policy and ... 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
- HCA Healthcare (Brandon, 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. ... staff members. + Maintains knowledge base and utilization of contract pricing, keeping current. + Responsible for and oversees...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… 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
- 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 ... processes and knowledge to create outstanding experiences for our patients, health care professionals and other stakeholders. The Service Delivery Lead - Support &… 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 ... staff for Auto liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- Elevance Health (Tampa, FL)
- …and to promote effective use of resources. Ensures medically appropriate, high-quality, cost -effective care through assessing the medical necessity of inpatient ... contracts. + Ensures member access to medical necessary, quality healthcare in a cost -effective setting according to contract . + Consult with clinical reviewers… 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)
- …and to promote effective use of resources. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient ... member access to medical 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
- Elevance Health (Lakeland, 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
- 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 ... RESPONSIBILITIES** + Vet and qualify opportunities by obtaining current contract terms to know the estimated value of the...of Risk Management programs + Build out independent managed care and property pipeline targeting pools and JPAs **PERSONAL… more