- 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
- 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
- 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
- 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
- AdventHealth (Maitland, FL)
- …coverage, payment, compliance, and basic billing rules for Government and Managed Care payers. Uses discretion when discussing personnel/patient related ... billing takes place on all assigned patient accounts. Depending on payer contract may be required to participate in conference calls, accounts receivable reports,… more
- Molina Healthcare (Orlando, FL)
- …licensing mandate. + At least 2 years in case, disease or utilization management; managed care ; or medical/behavioral health settings. + One year of training ... for working as a member of an interdisciplinary clinical team. + Educates integrated care teams on effective collaboration to improve member quality of life and to… more
- Black & Veatch (Orlando, FL)
- …+ Bachelor's degree or relevant work experience + Has successfully managed multiple engagements simultaneously + Contributor or leader to acquire new ... lead from start to finish including opportunity development and contract negotiation; client mgmt) + Strategic development/implementation **Certifications** Certifications… more