- 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
- Elevance Health (Lake Mary, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract Cost of Care Consultant -...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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
- Devereux Advanced Behavioral Health (Orlando, FL)
- …tables for data analysis. + Ensure accurate billing and claims submission for Medicaid, Managed Care , and other third-party payors + Hiring and training staff. + ... reach their potential? Join Devereux as a Revenue Cycle Manager !_ We are seeking a dynamic, positive Revenue Cycle...management experience _preferred_ + Knowledge of Florida Medicaid, Florida Managed Care Plans, and third-party payer systems… 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
- Compass Group, North America (Longwood, FL)
- …food cost controls, and presentation + Previous P&L accountability or contract - managed service experience is desirable + Strong supervisory, leadership, ... Director of Dining Services** is an exciting opportunity for an energetic, entrepreneurial manager who is constantly seeking a better way to conduct business. This… more