- Molina Healthcare (Tampa, FL)
- … healthcare experience + Understanding of the drivers and strategies across functions in managed care organizations (MCOs) as well as broad knowledge of the ... Summary** The role, reporting directly to the Head of Strategy , is a critical member of the Strategy... Strategy , is a critical member of the Strategy team, which supports senior executives in creating corporate,… more
- The Cigna Group (Tampa, FL)
- …from the competition. This role will be responsible for developing the strategy , design and delivery of effective distribution solutions to optimize current revenue ... and sales organizations. **Essential Duties and Responsibilities:** + Develop producer firm strategy using producer performance metrics to drive growth within each … more
- Molina Healthcare (Tampa, FL)
- …with value-based contracting. * In-depth knowledge of managed care business, regulatory/legal requirements, products, programs, strategy and objectives. ... **Job Description** **Job Summary** Leads the market's strategy and planning in the successful development of the provider network, including development,… more
- Molina Healthcare (Tampa, FL)
- …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+ years of Medicaid managed care experience or in an equivalent related field * Ability ... with Medicaid Proposals and/or business development and requires demonstrated Medicaid managed care experience comprised of technical operational, sales, growth,… more
- Molina Healthcare (Tampa, FL)
- …equivalent experience. **Required Experience** At least 7 - 10 years of experience in Managed Care and/or health plan quality. Clinical experience is needed for ... of Care issues, and medical record abstraction. Technical and strategy experience is needed for positions focused on interventions. **Preferred Education**… more
- Black & Veatch (Tampa, FL)
- **Solutions Sales Director - Industrial Cybersecurity** Date: Apr 29, 2025 Location: US Company: Black & Veatch Family of Companies **Together, we own our company, ... talents and perspectives to use. **The Opportunity** The Solution Sales Director for Industrial Cybersecurity will have the opportunity to coordinate internal… more
- Zimmer Biomet (Tampa, FL)
- …effect action that will exploit the markets and actualize sales potential in the managed care arena. + Coordinates the development and application of appropriate ... Ambulatory Surgery Centers within assigned geography. + Accountable for contract strategy , customer negotiations, and pricing strategy for Ambulatory Surgery… more
- Molina Healthcare (Tampa, FL)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... of establishing a sufficient network of Participating Providers to serve the health care needs of Molina membership. * Develops and maintains a standard provider… more
- ChenMed (Tampa, FL)
- …and linguistically diverse setting is essential + Experience working within a managed care environment strongly preferred We're ChenMed and we're transforming ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...the scope and member volume. + Assists the Medical Director , Cardiology in managing the day-to-day clinical and business… more
- HCA Healthcare (Largo, FL)
- …+ You will provide medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, ... regarding delegated utilization management and disease management operations under managed care contracts. You will meet all regulatory/contractual/accreditation… more
- Elevance Health (Tampa, FL)
- …HS diploma or equivalent and a minimum of 2 years of experience in a managed care healthcare setting; or any combination of education and experience, which would ... either uphold or deny appeal and forwards to Medical Director for approval. + Ensure that appeals and grievances...serves as a subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and… more
- Bristol Myers Squibb (Tampa, FL)
- …billing and payment + Medicare (NCD, IPPS, OPPS, 340B, etc.) + Medical policy, managed care coverage processes and practice for inpatient and outpatient settings ... territory. The CMAM will report into the East Region Director , Cell Therapy Market Access Managers. The individual is...Operations, Cell Therapy Patient Support Services, Cell Therapy Access Strategy Team, and other matrix teams as needed to… more
- Mass Markets (Tampa, FL)
- …and production of direct reports. Operations Managers work closely with the site director and client account managers to ensure adherence to corporate policies and ... and sets performance goals and objectives accordingly + Develop and maintain strategy on ensuring customer satisfaction on all service interaction + Provide team… more