- Elevance Health (Lake Mary, FL)
- …If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state ... and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender… more
- Elevance Health (Lake Mary, FL)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting Data...contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals.… more
- The Cigna Group (Lake Mary, FL)
- The Provider Contract Negotiator supports the North Florida market and serves as an integral member of the Provider Contracting Team and reports to the ... cost and quality. + Drives change with external provider partners by offering consultative expertise to assist with...+ Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. +… more
- Molina Healthcare (Orlando, FL)
- …supports assigned contracts with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes reports according to ... Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… 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
- Molina Healthcare (Orlando, FL)
- …standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost -effective member care . Essential ... related business documents. Required Qualifications * At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more… 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
- 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)
- …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job ... health care concerns, uses clinical judgment to provide care management or refer members to...licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. If licensed,… 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 long-term services and...licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. If licensed,… more
- AdventHealth (Orlando, FL)
- …community care nurses, physicians, staff, and other healthcare professionals to provide care coordination across the healthcare continuum for patients within ... care across the continuum to ensure safe, efficient, and cost -effective resource utilization. Identifies patient populations needing care coordination and… 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
- Molina Healthcare (Orlando, FL)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. * Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Molina Healthcare (Orlando, FL)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. + Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Fortive Corporation (Orlando, FL)
- …experience is preferred, but not req **About Gordian** Gordian is the world's leading provider of facility and construction cost data, software and services for ... talk. **Primary Responsibilities:** + Primary responsibility will be to provide support and training of all Gordian products and...for growth. **About Gordian** Gordian is the world's leading provider of facility and construction cost data,… 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
- AdventHealth (Maitland, FL)
- …include ensuring providers and practice staff are engaged and delivering quality cost -effective care . Overall, this position contributes to the strategic ... the strategic plans for the clinical operations of value-based programs, contract management, and risk readiness initiatives. This position leads partnerships with… 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