- Florida Atlantic University (Boca Raton, FL)
- …a multi-campus environment. Responsibilities: Leadership and Strategic Oversight + Provide leadership for Engineering & Utilities, Physical Plant Services, Warehouse ... service delivery models. Facilities Operations and Infrastructure Oversight + Provide oversight of all campus infrastructure and building systems, including… more
- Elevance Health (Miami, FL)
- ** Provider Contract Cost of Care Consultant - 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 Consultant...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Molina Healthcare (Miami, FL)
- …with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities ... cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads...department and organization. * Oversees the maintenance of all Provider Contract templates including VBP program templates.… more
- Molina Healthcare (Miami, 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
- University of Miami (Hialeah, FL)
- …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Contract Specialist 2 The University of Miami/UHealth ... Chain has an exciting opportunity for a Full Time Contract Specialist 2 to work at the UHealth Medical...the terms comply with legal guidelines, contracting principles, and cost constraints + Help Purchasing and suppliers with technical… more
- HealthTrust Workforce Solutions (Miami, FL)
- …+ Have a basic knowledge of computers and office machines. As the largest and fastest growing provider of urgent care in Florida, MD Now (C) urgent care is ... receive UP TO $3,000 Sign-On Bonus! **The MDNow Urgent Care Clinic hours are Monday-Sunday 8am-8pm. Must have the...medical coverage that covers many common services at no cost or for a low copay. Plans include prescription… more
- 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. ... clinical recruitment leaders in identifying and leveraging opportunities that impact quality, cost and speed of service delivery. + Educates internal clients on… more
- CVS Health (North Miami Beach, FL)
- …to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. + Supports or assists ... design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal… more
- Molina Healthcare (Miami, 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 (Miami, 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 (Miami, 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 (Fort Lauderdale, 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 (Miami, 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 (Miami, 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
- Fortive Corporation (Miami, FL)
- …For you, for us, for growth. **About Gordian** Gordian is the world's leading provider of facility and construction cost data, software and services for all ... schools, hospitals, higher education institutions and others maximize efficiency, optimize cost savings, and increase construction quality. Gordian is looking for a… more
- Elevance Health (Miami, FL)
- …complex topics such as utilization management, artificial intelligence, mental health parity, cost of care initiatives and federal and state regulatory analysis. ... for providing legal support and research services for the Clinical, Provider and Regulatory business counseling legal teams. Legal assignments and projects… more
- University of Miami (Hialeah, FL)
- …reports and dashboards and participates in executive reviews. + Engages physicians to provide resource utilization and cost data and to present opportunities to ... and implementation of all initiatives. Importantly, this key leader will provide senior leadership and strategic direction related to supply chain services… more
- HCA Healthcare (Sunrise, FL)
- …HealthTrust Workforce Solutions which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** HealthTrust Workforce Solutions ... medical coverage that covers many common services at no cost or for a low copay. Plans include prescription...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Parsons Corporation (Miami, FL)
- …disability, veteran status or any other protected status. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as ... assist the PM in technical coordination for all matters related to the contract ; + Supports preparation and maintenance of project forecasts and status updates,… more
- Generac Power Systems (Miami, FL)
- …construction operations on multiple projects' design, procurement, and construction, including cost , schedule, and quality control. Oversees all aspects of each ... other similar roles, including the site management team, design team, contract administration, construction accounting, and others, to ensure the project's… more
