- Elevance Health (Tampa, 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 (Tampa, 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
- The Cigna Group (Tampa, FL)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- Molina Healthcare (Tampa, 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
- RTX Corporation (Largo, FL)
- …Estimate-at-Completion (EAC) development. + Establish and maintain program logs (Work Authorization, Contract Mod Log, R&Os). + Provide financial guidance to ... only US citizens are authorized to access information under this program/ contract . **Security Clearance:** None/Not Required At Raytheon, the foundation of… more
- Molina Healthcare (Tampa, 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 (Tampa, 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 (Tampa, 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 (Tampa, 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
- WestCare Foundation (Pinellas Park, FL)
- …of capturing financial information, development of financial accounting systems, and increased contract , cost center and fund reportability + Accomplish tasks ... this position will be responsible for the accounting, budgeting, grant and contract management for WestCare Foundation and its related entities. Essential Job… more
- HCA Healthcare (St. Petersburg, FL)
- …the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. ... for clinical evidence and benefit; discuss financial considerations to include contract compliance, cost and reimbursement; identify opportunities to standardize… more
- HCA Healthcare (Brandon, 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
- Bristol Myers Squibb (Tampa, FL)
- …managers, and other stakeholders to ensure clear communication and understanding of contract terms and conditions. + Provide regular documented updates on ... environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work… more
- Adecco US, Inc. (Tampa, FL)
- …facilities, patients, and families. + Demonstrates a thorough understanding of the cost consequences resulting from care delivery decisions through utilization ... information in applicable electronic platform(s). + Ability to work collaboratively with the provider and care team to carry out nursing interventions under… more
- DarkStar Intelligence LLC (Tampa, FL)
- …Delivery (SOFGSD) contract in support of USSOCOM. The PM will provide strategic leadership and ensure consistent quality, compliance, and performance across all ... Full-Time | Clearance: Top Secret Note: This position is contingent upon contract award Overview DarkStar Intelligence is seeking an experienced IDIQ Program Manager… more
- CDM Smith (Tampa, 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
- EMCOR Group (Tampa, 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
- HCA Healthcare (St. Petersburg, 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
- Robert Half Technology (Tampa, FL)
- Description Quick moving contract to perm opening with hybrid in-office plus remote type schedule. Expectations would be in our client's Tampa office 2 to 3 days per ... maintain scalable data warehouses in Snowflake, optimizing for performance, cost , and healthcare-specific querying needs. Develop interactive dashboards and reports… more
- Sodexo (Tampa, FL)
- …with planning commissions and governing bodies, coordinate costing estimation, contract negotiation and remodeling activities, and manages professional employees and ... long-term relationships with consultants, prime contractors and subcontractors + Perform cost estimates, prepares proposals and negotiate final settlement price and… more