- Elevance Health (Miami, 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 (Miami, 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 (Miami, 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
- University of Miami (Hialeah, FL)
- …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Contract Specialist 2 The University of Miami/UHealth ... Chain has an exciting opportunity for a Full Time Contract Specialist 2 to work at the UHealth Medical...the terms comply with legal guidelines, contracting principles, and cost constraints + Help Purchasing and suppliers with technical… more
- CDM Smith (Miami, FL)
- …County Department of Transportation and Public Works has awarded our team the contract to provide Construction Engineering and Inspection services for the new ... contractor's submittals for completeness, accuracy, and compliance with construction contract documents. Drafting documents for possible construction contract … more
- ChenMed (Miami, FL)
- …you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. ... clinical recruitment leaders in identifying and leveraging opportunities that impact quality, cost and speed of service delivery. + Educates internal clients on… more
- CVS Health (Hialeah, FL)
- …to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. + Supports or assists ... design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes interactions with assigned providers and internal… more
- Molina Healthcare (Miami, 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 (Miami, 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 (Miami, 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 (Hialeah, 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 (Miami, FL)
- …are seeking a Clinical Resources Director for our team to ensure that we continue to provide all patients with high quality, efficient care . Did you get into our ... for clinical evidence and benefit; discuss financial considerations to include contract compliance, cost and reimbursement; identify opportunities to standardize… more
- Fortive Corporation (Miami, FL)
- …For you, for us, for growth. **About Gordian** Gordian is the world's leading provider of facility and construction cost data, software and services for all ... schools, hospitals, higher education institutions and others maximize efficiency, optimize cost savings, and increase construction quality. Gordian is looking for a… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …of the Medical Management department, ensuring the delivery of high-quality, cost -effective, and patient-centered care . + Oversee Utilization Management to ... Management, and Quality Improvement initiatives. This role ensures effective care coordination, promotes quality healthcare delivery, manages healthcare costs, and… more
- HCA Healthcare (Sunrise, FL)
- …HealthTrust Workforce Solutions which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** HealthTrust Workforce Solutions ... 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
- University of Miami (Hialeah, FL)
- …reports and dashboards and participates in executive reviews. + Engages physicians to provide resource utilization and cost data and to present opportunities to ... and implementation of all initiatives. Importantly, this key leader will provide senior leadership and strategic direction related to supply chain services… more
- Parsons Corporation (Fort Lauderdale, FL)
- …disability, veteran status or any other protected status. We truly invest and care about our employee's wellbeing and provide endless growth opportunities as ... key subcontractors. + Works to devise and execute actions plans to rectify potential cost overruns or delays, or to accommodate significant changes to the scope of… more
- MyFlorida (Fort Lauderdale, FL)
- …Core Contract Oversee the development of the agency's annual state/county contract . Monitor and provide variance reports required by the contract ... receivable; travel; fee collections; third party billing; grants and contract billings; Environmental Health cashiering, in accordance with appropriate regulatory… more
- Generac Power Systems (Miami, FL)
- …customer expectations by directing the site management team, design team, contract administration, construction accounting, and others as required. Works directly ... management of a project's design, procurement, and construction, including cost , schedule, and quality control. Coordinates all team bandwidth requirements… more
- University of Miami (Miami, FL)
- …into quantifiable data and analysis. + Cultivates and maintains payor contract relationships and develops joint venture and collaborative arrangements with external ... of one Sr. Administrator, one Sr. Manager and one lab Supervisor). Provide oversight of research proposal submissions, management of active awards including… more