• Provider Contract / Cost

    Elevance Health (Miami, FL)
    ** Provider Contract / Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). ... miles of one of Elevance's Pulse Point locations. **The Provider Contract / Cost of Care...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
    Elevance Health (09/22/24)
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  • Sr. Contract Manager (Facilities)

    University of Miami (Hialeah, FL)
    …issues. + Measures and monitors contract compliance, supplier performance per contract , service level agreements, and realized cost savings. + Partners with ... please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Sr. Manager, Contract The University of Miami/UHealth Department of Supply Chain… more
    University of Miami (10/06/24)
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  • Construction Representative 4 ( Contract

    CDM Smith (Miami, FL)
    …County Department of Transportation and Public Works has awarded our team the contract to provide Construction Engineering and Inspection services for the new ... contractor's submittals for completeness, accuracy, and compliance with construction contract documents. Drafting documents for possible construction contract more
    CDM Smith (10/21/24)
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  • VP, Network Management & Operations (Florida)

    Molina Healthcare (South Florida, FL)
    …goals of the department and organization. + Oversees the maintenance of all provider contract information and templates and ensures that all negotiated contracts ... and implement provider contracting and service strategies to contain unit cost , improve member access and enhance provider satisfaction with the Plan.… more
    Molina Healthcare (10/16/24)
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  • RN Utilization Management Nurse Sr.…

    Elevance Health (Miami, 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 (10/01/24)
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  • Director of Clinical Operations

    HCA Healthcare (Sunrise, FL)
    …include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
    HCA Healthcare (09/18/24)
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  • Design Manager

    Parsons Corporation (Miami, 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
    Parsons Corporation (10/15/24)
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  • County Health Dept Financial Admin-Hlth - 1 1 1

    MyFlorida (Fort Lauderdale, FL)
    …Core Contract Oversee the development of the agency's annual state/county contract . Monitor and provide variance reports required by the contract ... receivable; travel; fee collections; third party billing; grants and contract billings; Environmental Health cashiering, in accordance with appropriate regulatory… more
    MyFlorida (10/13/24)
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  • Pharmacy Tech Buyer

    HCA Healthcare (Miami, 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. ... formulary changes as necessary to ensure maximum savings for contract . + You will provide leadership and...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
    HCA Healthcare (09/21/24)
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  • Senior Corporate Counsel

    ChenMed (Miami, FL)
    …you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. ... The Senior Corporate Counsel will provide senior level support to the Chen Family of Companies in a myriad of areas including, but not limited to, to business and… more
    ChenMed (10/17/24)
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  • Audit & Reimbursement Lead

    Elevance Health (Miami, FL)
    …programs._ The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and ... Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and coordination on contractual workload involving the… more
    Elevance Health (10/21/24)
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  • Certified Pharmacy Technician (CPhT)

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …to the Pharmacy Director and Part D Manager. Key Responsibilities: + Provide support in obtaining supporting statements and clinical information necessary for ... Enter and maintain accurate prior authorization records + Answer provider calls as this is a provider ...Utilization Management Department with Part B drug requests (eg Cost review, entering Part B authorizations/overrides, where applicable) +… more
    DOCTORS HEALTHCARE PLANS, INC. (10/29/24)
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  • Claims Adjuster - Liability

    Sedgwick (Miami, 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
    Sedgwick (08/14/24)
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  • Team Lead

    Sedgwick (Miami, 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
    Sedgwick (10/12/24)
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  • Nurse Medical Mgmt I (US)

    Elevance Health (Hialeah, 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 (10/16/24)
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  • LTSS Service Coordinator - Bilingual (English/…

    Elevance Health (Miami, 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
    Elevance Health (09/18/24)
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  • Assistant Buyer- Hybrid

    University of Miami (Miami, FL)
    …meets end users (customer) supply needs and the execution of timely and cost -effective purchases for the organization. The incumbent's focus will be on the timely ... to validate information and finalize a business transaction (price, delivery, contract terms and conditions). + Evaluates departmental requests for contacted items,… more
    University of Miami (10/17/24)
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  • Public Entity Business Development Manager

    Sedgwick (Miami, 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
    Sedgwick (10/31/24)
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  • Commercial Auto Claims Representative - Liability

    Sedgwick (Miami, FL)
    Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
    Sedgwick (08/07/24)
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  • Senior Construction Representative 4 (Building…

    CDM Smith (Miami, FL)
    …County Department of Transportation and Public Works has awarded our team the contract to provide Construction Engineering and Inspection services for the new ... in place matches construction plans and is completed in accordance with contract documents and CDM Smith quality standards. Identifying deficiencies in construction… more
    CDM Smith (10/29/24)
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