Healthcare Contract Specialist Jobs in Saint Petersburg

... techniques and discretion to analyze contract and chargeback information to ensure ... contracts in the Model N Contract Management and Chargeback (CMCB) system. ... that the intent of the..

Inspired Living is looking for compassionate individuals who want to support our residents & who complement our hardworking and dedicated teams! In-depth, hands-on training provided! Summary/Objective Care Partners provide routine care ..

... CDO is seeking an experienced healthcare contracting executive for the newly-created ... contracting with downstream specialty providers. Contract Management: Direct leadership and supervision ... and processes necessary for optimal..

Description The Pharmacy Development Specialist will be responsible for qualifying and managing new business leads and cultivating prospects and sales. Responsibilities Summary The Business Development Specialist will be responsible for managing ..

Job Information Kindred at Home Healthcare Account Executive in St. Petersburg ... Florida As a Home Health Specialist , you will: Call on ... line extensions and proposal or contract..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Job Information Humana Provider Contracting Professional 2 - Work at Home in Florida in Tampa Florida Description Positions is responsible for the education of Managed Long Term Care (MLTC) Medicaid providers ..

Description The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. ..

Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Tampa Florida Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

... 40 market leader in integrated healthcare whose dream is to help ... the organization to meet operational contract requirements and financial performance goals. ... new contractual requirements Partners with..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Job Information Humana Finance Professional 2 - IT Finance (contract labor & capitalization) in Tampa Florida Description The New Cost Pool Team within IT Finance (contract labor & capitalization) was been ..

HOW MIGHT YOU DEFY IMAGINATION?Youve earned your degree. How will you use that achievement to reach your goals? Do more with the knowledge youve worked hard to acquire and the passion ..

Description The Market VP, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Market VP, Provider Contracting requires ..

... market contracting teams to influence specialist contract terms that align with Service ... in close coordination with PCP Contract Load, Capitation Rates, Payments, and ... Adjustments teams to ensure..

Job Information Humana Provider Contracting Professional 2 - Work at Home in Florida in Clearwater Florida Description Positions is responsible for the education of Managed Long Term Care (MLTC) Medicaid providers ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Job Information Humana Senior Contract Tools, Education, Processes Professional - ... Tampa Florida Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..

Description The Claims Research & Resolution Professional 2 works with enterprise shares team comprised of calls/claims/contracting and external provider associates researching the resolution to a pending inquiry. Understands department, segment, and ..

Job Information Humana Provider Contracting Professional 2 - Work at Home in Florida in Saint Petersburg Florida Description Positions is responsible for the education of Managed Long Term Care (MLTC) Medicaid ..