- Elevance Health (Tampa, 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 (Tampa, FL)
- ** Provider Contract / Cost of Care Analyst Senior-Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 ... dives to uncover root-cause trend drivers and support initiative design for remediation. The ** Provider Contract / Cost of Care Analyst Senior** provides… more
- Elevance Health (Tampa, FL)
- **Value Based Contract / Cost of Care ...will be responsible for providing analytical support to the Cost of Care and/or Provider Contracting ... Consultant** The **Value Based Contract / Cost of Care Consultant** will focus on...provider negotiations. + Analyzes claims experience to identify cost of care initiative opportunities. + Measuring… more
- Elevance Health (Tampa, FL)
- ** Provider Contract Cost of Care Consultant**...care . **How you will make an impact:** + Provide analytic and consultative support on cost of ... Tampa, FL or Chicago, IL. The ** Provider Contract Cost of Care Consultant**...facilitate novel ways of exploring and explaining trends. + Provide input and consultative support to Medical Directors, Finance… more
- The Cigna Group (Tampa, FL)
- …be able to travel between Tampa, Orlando, Jacksonville.** **Role Summary** The Provider Performance Manager is a key member of a cross-functional, collaborative ... organization (which includes Market Provider Performance, Sales, Health Services, Clinical, Stars & Risk...for and facilitating external physician meetings and value based contract administrative meetings (JOCs). + Preparing for and facilitating… more
- Elevance Health (Tampa, FL)
- … provider network by managing the implementation of strategies for provider recruitment, contract negotiations, and relationship development for large health ... ** Provider Network Management Director** **Location:** This position will...health systems, affiliated providers and supports value based and cost of care initiatives. **How you will… more
- Elevance Health (Tampa, FL)
- ** Provider Network Management Director Senior** **Location:** This position will work a hybrid model (remote and office). Ideal candidates must live within 50 ... Richmond, VA, Atlanta, GA or Tampa, FL Elevance Health locations. The ** Provider Network Management Director Senior** is responsible for guiding and overseeing the… more
- Aston Carter (Tampa, FL)
- Cost Accountant | 100% Remote Job Description: In...+ Manage and review the work of an outsourced provider that supports the team. + Perform and review ... role, you will be a member of the Global Cost Accounting team responsible for the consolidation and analysis...analysis. Hard Skills: + Inventory accounting + Managing outsourced provider work + Journal entries and General ledger account… more
- Aston Carter (Tampa, FL)
- Job Title: Cost Accountant Job Description In this role, you will be a member of the Global Cost Accounting team responsible for the consolidation and analysis ... of global inventory and cost of sales. Job duties include but are not...* Manage and review the work of an outsourced provider that supports the team. * Perform and review… more
- Centene Corporation (Tampa, FL)
- …markets. + Perform periodic analyses of the provider network from a cost , coverage, and growth perspective. Provide leadership in evaluating opportunities to ... + Support market expansion and M&A activities by leading provider contract analysis related to due diligence....or equivalent experience. 7+ years of experience in managed care network development. 3+ years of experience in government… more
- HCA Healthcare (Largo, FL)
- …ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care , uninsured discounts, and other ... 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
- Pfizer (Tampa, FL)
- …require Pfizer to provide government agencies with information such as a health care provider 's name, address and the type of payments or other value ... management for assigned categories. As a Business Engagement Partner, you will provide guidance to operational teams for managing projects. Your planning skills will… more
- Parsons Corporation (Tampa, 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
- Elevance Health (Tampa, FL)
- …most complex or elevated medical issues. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient ... contracts. + Ensures member access to medical necessary, quality healthcare in a cost -effective setting according to contract . + Consult with clinical reviewers… more
- Elevance Health (Tampa, 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
- Sedgwick (Tampa, 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
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) ... board certification) Malpractice: Free liability protection with tail coverage provided Contract : No Physician Employment Contract and no significant restriction… more
- Elevance Health (Tampa, 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 (Tampa, 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 (Tampa, FL)
- …cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. The process does not involve clinical ... of position, as required by applicable state law and contract ; develops, monitors, and revises the member's service plan...member's needs, with the goal of optimizing member health care across the care continuum. + Responsible… more