- Elevance Health (Tampa, FL)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... granted as required by law. The ** Provider Contract Cost of Care Consult...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Tampa, FL)
- …office. **Position Overview:** Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses ... develop contracting strategy and supports all aspects of the contract negotiation process. Works with multiple provider ...modifications as applicable + Recommends standardized practices to optimize cost of care + Educates provider… more
- The Cigna Group (Tampa, FL)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… 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
- 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)
- …outcomes and financial performance of the product. Contributes to overarching strategy to provide quality and cost -effective member care . **ESSENTIAL JOB ... regulations. **REQUIRED QUALIFICATIONS:** + At least 12 years of experience in health care leading state Medicaid long-term care services programs in a… more
- Molina Healthcare (St. Petersburg, FL)
- …claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and ... cost containment reports and makes recommendations based on relevant...materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of… more
- Molina Healthcare (St. Petersburg, FL)
- …delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * ... Assesses services for members to ensure optimum outcomes, cost -effectiveness and compliance with all state/federal regulations and guidelines. * Analyzes clinical… 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 long-term services and...licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. If licensed,… 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
- 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
- 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
- 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
- Adecco US, Inc. (Tampa, FL)
- …facilities, patients, and families. + Demonstrates a thorough understanding of the cost consequences resulting from care delivery decisions through utilization ... information in applicable electronic platform(s). + Ability to work collaboratively with the provider and care team to carry out nursing interventions under… more
- Leonardo DRS, Inc. (Largo, FL)
- …on time and budget + Document component and subsystem specifications and requirements + Provide budget, cost , and schedule input for design assignments + Ability ... requirements, and develop designs to best support them, including cost as a key design variable + Design, develop,...small and large proposals and new business pursuits + Provide technical expertise and assistance to other engineers and… more
- DarkStar Intelligence LLC (Tampa, FL)
- …Delivery (SOFGSD) contract in support of USSOCOM. The PM will provide strategic leadership and ensure consistent quality, compliance, and performance across all ... Full-Time | Clearance: Top Secret Note: This position is contingent upon contract award Overview DarkStar Intelligence is seeking an experienced IDIQ Program Manager… more
- CDM Smith (Tampa, FL)
- …federal background check. * Knowledge of design review, construction administration, cost estimating, scheduling, and contract management. * Demonstrates ... and prepares technical reports and/or project status reports. * Provide engineering judgment for field modifications, non-conformance issues, value engineering… 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