- Elevance Health (Lake Mary, FL)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...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 Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Tampa, FL)
- …for providing the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Tampa, FL)
- …Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims ... cost of care + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Qualifications:** + Experience providing… more
- The Cigna Group (Sunrise, FL)
- The ** Provider Contracting Manager** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting . ... cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative...**.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex… more
- CVS Health (Tallahassee, FL)
- …and external customers. **Required Qualifications** . 5+ years of experience in value-based care in contracting , provider relations, provider operations ... impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing… more
- Elevance Health (Altamonte Springs, FL)
- …Engineering** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- HCA Healthcare (Sunrise, FL)
- …Contracting , Healthtrust GPO, specific target vendors, etc. to identify new contracting opportunities and to maximize cost reductions for existing ... Coordinate, communicate and share intelligence with other service line contracting teams to assist and improve upon cost...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- Elevance Health (Miami, FL)
- …**Preferred Skills, Capabilities and Experiences** + Prior experience with Cost of Care , provider network contracting , provider networks, claims, ... an accommodation is granted as required by law._ **Summary** Provide support for CarelonRx including trend and rebate analytics...and rebate analytics and delivering a clear linkage from Cost of Care initiatives to financial statements… more
- Molina Healthcare (Miami, FL)
- …previous experience in contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes… more
- The Cigna Group (Tampa, FL)
- …Negotiator supports the North Florida market and serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager or ... and Marketing and Service. + Supports strategic positioning for provider contracting , assists in the development of...cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with… more
- Molina Healthcare (FL)
- …out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members. * ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...with assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost… more
- Centene Corporation (Tallahassee, FL)
- …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care .** **Performance Management: Uses data… more
- Molina Healthcare (Miami, FL)
- …customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare provider ... negotiating different provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina employees: If you are interested in… more
- CVS Health (Tallahassee, FL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... We are seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across our...Three or more years of experience in network management, contracting , or related healthcare network functions. + One or… 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
- Fortive Corporation (Orlando, 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 ... effort to continue to be the premier Job Order Contracting (JOC) consulting agency. JOC is a procurement method...for growth. **About Gordian** Gordian is the world's leading provider of facility and construction cost data,… more
- Western Digital (Tallahassee, FL)
- …supplier performance, resolve issues, and drive improvements in quality, delivery, and cost . + **Negotiation and Contracting :** Lead negotiations with suppliers ... Manages compliance to contracting terms and proactively develops and manages contracting metrics + ** Cost Optimization:** Drive cost -saving initiatives… more
- Highmark Health (Tallahassee, FL)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population health ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2… more
- Centene Corporation (Tallahassee, FL)
- …health plans in periodic analyses of their provider networks from a cost , coverage, and growth perspective. + Provide leadership in evaluating opportunities ... to support contract negotiations. + Lead initiatives to ensure periodic review of provider contracting rates to ensure strategic focus is on target with… more