- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred ...contract data elements which are populated into the Managed Care database including addition of new… more
- AdventHealth (Maitland, FL)
- …partners, vendors and leadership after identifying and quantifying the issue. Supports the Managed Care Contract Administration, AH Central Denials team, and ... non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical...issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst. Contributes to the… more
- Cardinal Health (Tallahassee, FL)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing...contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- AdventHealth (Altamonte Springs, FL)
- …**Responsible for ensuring the providers are loaded timely and accurately with Managed Care contracted payers. Responsible for evaluating professional fee ... the Physician Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing… more
- AdventHealth (Maitland, FL)
- …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... Enterprise leaders to keep them informed of any concerns related to managed care reimbursement and operational contract issues. Ensures key stakeholders are… more
- Pfizer (Tampa, FL)
- **ROLE SUMMARY** The Contract Manager supports Pfizer by executing against contract strategies for the customer base which includes but is not limited to the ... to support Pfizer Business Unit Sales and Portfolio strategies.The Contract Manager will be accountable for having...channel from wholesaler to pharmacy to institutions and through managed care pharmaceutical benefit. + Able to… more
- CDM Smith (Miami, FL)
- …performed by the construction contractors. **Job Title:** Construction Representative 4 ( Contract Compliance Manager ) **Group:** CEI **Employment Type:** Regular ... Transportation and Public Works has awarded our team the contract to provide Construction Engineering and Inspection services for...Where it's a priority that the company takes good care of you and your family. Our employees are… more
- 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 ... **Provider Contract Cost of Care Consultant -...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- AdventHealth (Maitland, FL)
- …strong organizational skills. The Medical Economics Manager will manage and mentor managed care staff for both the Florida and Multi-State Divisions of ... care contracts, proposals, analyze fee schedules, and determine contract compliance. The Medical Economics Manager must...that achieve net revenue targets developed by the Regional Managed Care Directors and Contract … more
- MyFlorida (Pensacola, FL)
- …of EIC) are appropriately managed and monitored by working with the EIC and contract manager to assure that they are meeting their HIV contract ... COMMUNITY AND SOCIAL SERVICE MANAGER I - 64027926 Date: Oct 2, 2025...(HIV) / Acquired Immune Deficiency Syndrome (AIDS) Surveillance, HIV/AIDS Contract Management, HIV/AIDS Prevention, Early Intervention, and AIDS Drug… more
- Elevance Health (Altamonte Springs, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... ** Manager Senior Engineering** **Location:** This role requires associates...responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make… more
- Bristol Myers Squibb (Tampa, FL)
- …work and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Manager , Project Contracts Manager will be the primary and embedded ... methodology by which appropriate scope awards (for example, Construction Manager (and Subcontractors), Architect Engineer, Project Controls, C&Q) maximizing value… more
- Ascension Health (Pensacola, FL)
- …by tracking and managing performance against Service Level Agreements (SLAs) and other contract terms. + Collaborate with managed service providers and vendors ... issues escalated by governance teams and refers issues to appropriate leaders and managed partners for resolution. + Provide guidance to business and legal teams… more
- The Cigna Group (Tampa, FL)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... office or visit Providers 3 days per week The ** Manager , Provider Contracting Network Management** serves as an integral...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …tables for data analysis. + Ensure accurate billing and claims submission for Medicaid, Managed Care , and other third-party payors + Hiring and training staff. + ... reach their potential? Join Devereux as a Revenue Cycle Manager !_ We are seeking a dynamic, positive Revenue Cycle...management experience _preferred_ + Knowledge of Florida Medicaid, Florida Managed Care Plans, and third-party payer systems… more
- CVS Health (FL)
- …executing national, regional, or market level strategies. + In-depth knowledge of the managed care industry and practices, as well as a strong understanding ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Coral Gables, FL)
- …work experience in healthcare. + Minimum of 3 years' experience in Medicaid Managed Care business segment environment servicing providers with exposure to ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CAI (Tallahassee, FL)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full...+ Minimum of 3 years of experience in Acute Care , Managed Care , or experience ... **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next...critical role in holistic assessment, planning, coordination, and monitoring care to optimize member health outcomes while advocating for… more
- Lumen (Tallahassee, FL)
- …connect the world and shape the future. **The Role** The Lead Project Manager will be aligned to our Enterprise Operations organization and will be responsible ... systems, ordering, inventory, transition/implementation performance reporting, budgeting/forecasting, training, customer care , operations, program management plans, change management plans, resource… more
- Communities Connected for Kids (Fort Pierce, FL)
- **Description** As a Child Welfare Case Manager , you will work with other dedicated professionals who share your passion for helping individuals in need. We offer: + ... + Develop and maintain case and program documentation according to contract and CCKids standards (assessments, treatment/service plans, progress notes, termination… more