- Elevance Health (Lake Mary, 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 (Orlando, 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 (Orlando, 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
- Planate Management Group LLC (Orlando, FL)
- …and cost structures + Experience producing competitive commercial estimates and assessing cost risks. + Familiarity with contract terms, cost realism, ... facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering,… more
- Rising Medical Solutions (Orlando, FL)
- …for all stakeholders. + Confidently guide cases by facilitating preferred provider selections and ensuring compliance with best practices in workers compensation ... + Opportunity to make a difference in reducing health care costs and increasing the value of health ...some of the most talented people in the medical cost -containment industry + We're on YouTube! Check out our… more
- Elevance Health (Altamonte Springs, FL)
- …The **Manager Senior Engineering** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How you ... realized and recommends modifications as applicable. + Recommends standardized practices to optimize cost of care . + Educates provider contractors on… more
- Molina Healthcare (Orlando, 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 (Orlando, 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 (Orlando, 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 (Orlando, 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
- HCA Healthcare (Kissimmee, 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 ... Osceola Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** HCA Florida...medical coverage that covers many common services at no cost or for a low copay. Plans include prescription… more
- Sedgwick Government Solutions (Orlando, FL)
- …orientation, and mentoring of Medical Case Management (MCM) personnel, and provide support to the Director or Manager based on assignments. Responsibilities ... + Provide direct supervision of assigned team members, with support...are related to FECA or a comparable field per program/ contract . + 3-5 years related clinical experience 1 year… more
- Orange County Sheriff's Office, Orlando, Florida (Orlando, FL)
- …to solicit support and understanding of program) and sporting activities. + Ability to provide lectures in the classroom on the subject of law awareness. May be ... + Must have patience and the ability to demonstrate care and concern for students and citizens. This work...drug treatment centers, etc. Familiarity with the school board contract with the Sheriff's Office preferred. + Ability to… more
- System One (Lake Mary, FL)
- …FL area. Job Title: Project Scheduler Location: Lake Mary, FL Type: Contract Compensation: Contractor Work Model: Onsite SUMMARY The Project Planner Scheduler ... the project team as needed including project set up in database software, cost control, change order tracking and reports. ESSENTIAL DUTIES & RESPONSIBILITIES +… more
- Black & Veatch (Orlando, FL)
- …develop and implement the proposal win strategy on key opportunities. * Participate in cost review and influences team to provide responses with competitive ... a team of proposal managers with responsibilities from pursuit assignment to contract signing. * Manage team workload and proposal assignment activities. *… more
- CDM Smith (Orlando, FL)
- …federal background check. * Knowledge of design review, construction administration, cost estimating, scheduling, and contract management. * Demonstrates ... and prepares technical reports and/or project status reports. * Provide engineering judgment for field modifications, non-conformance issues, value engineering… more
- Planate Management Group LLC (Orlando, FL)
- …studies, site investigations, and surveys. + Prepare and manage project budgets, cost estimates, and construction schedules. + Provide oversight of design ... facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering,… more
- EMCOR Group (Orlando, FL)
- …construction documents + Effective communication skills + Knowledge of construction scheduling, cost control, and ability to control and supervise small to midsized ... ability + Basic computer skills preferred **Benefits include Family Medical Care Plan, National Electrical Benefit Fund & National Electrical Annuity Plan.**… more
- EMCOR Group (Orlando, FL)
- …managers, clients, suppliers, and team members. **Benefits include Family Medical Care Plan, National Electrical Benefit Fund & National Electrical Annuity Plan.** ... scopes; assures subcontractors maintain schedules, and quality standards meet contract requirements. + Assists the Project Manager with subcontractor disputes,… more
- Lockheed Martin (Orlando, FL)
- …with contract Earned Value Management \(EVM\) set\-up and management, cost control and analysis, proposal preparation, and New Business Acquisition Expenditures ... with contract Earned Value Management \(EVM\) set\-up and management, cost control and analysis, and proposal preparation * Managing New Business Acquisition… more