- Molina Healthcare (Orlando, FL)
- … healthcare experience + Understanding of the drivers and strategies across functions in managed care organizations (MCOs) as well as broad knowledge of the ... Summary** The role, reporting directly to the Head of Strategy , is a critical member of the Strategy... Strategy , is a critical member of the Strategy team, which supports senior executives in creating corporate,… more
- AdventHealth (Maitland, FL)
- …role you'll contribute:** This position will be responsible for execution of the managed care payor dispute resolution processes for all AdventHealth providers ... dispute resolution processes. The position reports to the Executive Director of Reimbursement and Compliance. Experience in all aspects...and library of state regulations related to insurance and managed care regulations in all states where… more
- Molina Healthcare (Orlando, FL)
- …with value-based contracting. * In-depth knowledge of managed care business, regulatory/legal requirements, products, programs, strategy and objectives. ... **Job Description** **Job Summary** Leads the market's strategy and planning in the successful development of the provider network, including development,… more
- Capgemini (Orlando, FL)
- …senior director will be supported by a project management, strategy and architecture, network monitoring, tools, automation, reporting, asset management, and ... **Job Title** :Operations Delivery Director **Location** :Orlando,FL **Travel** :25% **Job description:** Capgemini...We address the entire breadth of business needs, from strategy and design to managing operations. To do this,… more
- Molina Healthcare (Orlando, FL)
- …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+ years of Medicaid managed care experience or in an equivalent related field * Ability ... with Medicaid Proposals and/or business development and requires demonstrated Medicaid managed care experience comprised of technical operational, sales, growth,… more
- Molina Healthcare (Orlando, FL)
- …equivalent experience. **Required Experience** At least 7 - 10 years of experience in Managed Care and/or health plan quality. Clinical experience is needed for ... of Care issues, and medical record abstraction. Technical and strategy experience is needed for positions focused on interventions. **Preferred Education**… more
- Black & Veatch (Orlando, FL)
- **Solutions Sales Director - Industrial Cybersecurity** Date: Apr 29, 2025 Location: US Company: Black & Veatch Family of Companies **Together, we own our company, ... talents and perspectives to use. **The Opportunity** The Solution Sales Director for Industrial Cybersecurity will have the opportunity to coordinate internal… more
- Zimmer Biomet (Orlando, FL)
- …effect action that will exploit the markets and actualize sales potential in the managed care arena. + Coordinates the development and application of appropriate ... Ambulatory Surgery Centers within assigned geography. + Accountable for contract strategy , customer negotiations, and pricing strategy for Ambulatory Surgery… more
- Molina Healthcare (Orlando, FL)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... of establishing a sufficient network of Participating Providers to serve the health care needs of Molina membership. * Develops and maintains a standard provider… more
- AdventHealth (Davenport, FL)
- …date on hospital clinical quality, benchmarking, and best practices + Well versed in managed care and health policy . Ability to work effectively with hospital ... . Participates in the review long stay and/or complex care patients in conjunction with the director ...improvements, new service/program offerings inclusive of all operational and strategy decisions. . Takes a lead role on campus… more
- Bristol Myers Squibb (Orlando, FL)
- …billing and payment + Medicare (NCD, IPPS, OPPS, 340B, etc.) + Medical policy, managed care coverage processes and practice for inpatient and outpatient settings ... territory. The CMAM will report into the East Region Director , Cell Therapy Market Access Managers. The individual is...Operations, Cell Therapy Patient Support Services, Cell Therapy Access Strategy Team, and other matrix teams as needed to… more