- AdventHealth (Maitland, FL)
- …Hybrid on-site** **The role you'll contribute:** **This position is responsible for physician contract review and interpretation; as well as, the building and ... physician group billing and system departments to resolve contract load issues and identify trends to ensure ...contract that could have a negative impact on contract operations and administration . * Provides follow-up… more
- AdventHealth (Maitland, FL)
- …This position is responsible for managing the AdventHealth Florida and Multi-state Physician Contract Administration team. This team is responsible ... documentation for record keeping of contracts and correspondence by Contract Administration for tracking and historical purposes....that may have a direct or indirect impact on physician contract operations or contract … more
- AdventHealth (Maitland, FL)
- …to contract strategy and action. Collaborates with the Managed Care contract administration team to provide timely notification and follow-up as appropriate ... even better. **Shift** : Monday- Friday Full Time 8am-5pm hybrid (3 days onsite) **Job Location** : Maitland, FL...+ Minimum of 5 years training or experience in contract negotiations and/or contract administration … more
- BayCare Health System (Tampa, FL)
- …clinical excellence. **Position Details:** **Location:** Tampa, FL - Concourse Center ( Hybrid ) **Status:** Full Time, Exempt **Shift Hours:** 8:00am - 4:30pm **The ... Physician Recruiter Sr. is responsible for:** + Recruitment activities...Providers, including active sourcing, advertising, recruiting, screening applicants, interviewing, contract negotiation, making offer, and on-boarding. + Needs to… more
- Sedgwick (Tallahassee, FL)
- …Insurance Claims Adjuster I Workers Compensation I CA experience required I Hybrid **PRIMARY PURPOSE** **:** To analyze mid- and higher-level workers compensation ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Centene Corporation (Tampa, FL)
- …must reside in Florida** **Position Purpose:** Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi specialty groups) and ancillary ... with internal departments and contracted providers to implement and maintain contract compliance + May require up to 25% travel **Education/Experience:** Bachelor's… more
- ChenMed (Miami, FL)
- …of new dispensaries. The incumbent in this role works directly with PBM contract counterparts to successfully manage the credentialing and recredentialing of new and ... and training resources. + Partners with market leaders to identify primary physician in charge at each location and is responsible for ensuring credentials… more
- The Cigna Group (Fort Lauderdale, FL)
- …Florida market** - Preferred candidate to live in **Broward or Miami Dade, FL area** ** Hybrid position** - will need to work in the office or visit Providers 3 days ... hospitals and other providers (eg, Hospital systems, Ancillaries, and large physician groups). + Builds relationships that nurture provider partnerships and seeks… more
- Pfizer (Tampa, FL)
- …assessment (COA) data. + Manages a global network of consultants and contract organizations to execute the COA evidence generation deliverables (eg, qualitative COA ... field such as, public health, psychology, health economics, epidemiology, pharmacy administration , or other research-focused health outcomes field. + Minimum 1 year… more