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29 Jobs in Tampa, FL

  • Provider Network Manager

    Tampa, Florida
    ... provider network through contract negotiations (language and rates), relationship development, and ... providers, providers in areas with increased competition or where greater provider education around managed ...
  • Audit & Reimbursement II- Cost Report Audit

    TAMPA, Florida
    ... other associates. Analyze and interpret data per a provider’s trial balance, financial statements ...
  • RACF Security Administrator (US)

    TAMPA, Florida
    ... the delivery of mainframe information and network security systems and/or technology services, which may include server, software, network, and database components. **How you will make an impact ...
  • Provider Collaboration Mgr Sr

    TAMPA, Florida
    ... provider contractors and network relations reps to meet provider service needs. Encourages providers ... .** PRIMARY DUTIES: Provides support for assigned provider contracts. Manage and oversee the ...
  • Data Protection Engineer

    Tampa, Florida
    ... ; leads or plans implementations for access management and network security technologies. Develops ... events and incidents; provides system and network architecture support for information and network ...
  • Staff Vice President (VP) Governance (Health Benefits Operations)

    TAMPA, Florida
    ... payments and encounter submissions, network, reporting, IT and infrastructure, performance guarantees and ...
  • Cloud Security Advisor

    TAMPA, Florida
    ... , system security, access management, network security, network communications, computer networking ...
  • Health Benefits Executive Director

    Tampa, Florida
    ... repositioning in a market, legislative changes, network/provider changes/ medical management program and policy ...
  • Go to Market Director

    TAMPA, Florida
    ... market plans to ensure readiness for products, network and digital features. **How you will make ... Management, Marketing, Operations Product, Network, Clinical, Member Experience) to evaluate opportunities ...
  • Audit & Reimbursement III - Medicare Cost Report Audit

    TAMPA, Florida
    ... the manager. Prepare detailed work papers and present findings in accordance with Government ... data per a provider’s trial balance, financial statements, financial documents or other related ...
  • FedRAMP SOC Analyst

    Tampa, Florida
    ... and network security technologies. Develop testing plans to ensure quality of implementation ... network architecture support for information and network security technologies. Close or escalate ...
  • Information Security Advisor

    Tampa, Florida
    ... provider relationships in the Florida market. America’s 1st Choice operates as a wholly-owned subsidiary of ... . Responsible for the delivery of strategic network security, access control, and secure transaction/messaging ...
  • Information Security Executive Advisor

    Tampa, Florida
    ... architecture oversight and planning for information and network security technologies. Leads development ... , 10) Security Architecture and Design, 11) Telecommunications and Network Security. Configure ...
  • Senior RN Utilization Review/Management (Acute InPatient)

    Tampa, Florida
    ... network services, and appropriateness of treatment setting by utilizing the applicable medical policy and ...
  • Provider Contract/Cost of Care Consultant Senior

    Tampa, Florida
    ... claims costs, improving the quality of care, and increasing member and provider network satisfaction ... Provider Contract/Cost of Care Consultant Senior-Analytics Location: This ...
  • Cloud Cyber Security Analyst (Data Protection/DevOps)

    Tampa, Florida
    ... problems and leads implementations for system and network security technologies. Perform DAM software ... the reporting of data security events and incidents; provides system and network architecture support ...
  • Behavioral Health HEDIS Quality Program Director

    TAMPA, Florida
    ... quality initiatives. Guides strategic efforts with clinical and network to improve experience of ... and implementing targeted clinical, network, and vendor programs to drive measurable improvements in ...
  • Information Security Advisor

    TAMPA, Florida
    ... security controls. Responsible for the delivery of strategic network security, access control and secure ... plans implementations for access management and network security technologies. Develops testing ...
  • Audit & Reimbursement Senior - Medicare Cost Report Audit

    TAMPA, Florida
    ... . Able to work independently on assignments and under minimal guidance from the manager. Prepare ...
  • Associate General Counsel

    TAMPA, Florida
    ... and federal regulatory agencies. Familiarity with provider contracting and network adequacy ...
  • FedRAMP Principal

    Tampa, Florida
    ... architecting/engineering DevOps-based cloud network or cloud network security CI/CD deployment pipelines ...
  • Grievance/Appeals Analyst I

    TAMPA, Florida
    ... grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and ... Demonstrated business writing proficiency, understanding of provider networks, the medical management process ...
  • Wellness & Recovery Specialist

    TAMPA, Florida
    ... forming a supportive, recovery network. Develops and implements provision of onsite psychiatric ...
  • Oncology Practice Enablement Clinician

    Tampa, Florida
    ... make an impact:** Independently manages relationships with provider practices by providing ... . Serve as the subject matter expert for provider practices on company programs for all lines of business ...
  • Cloud Platform Principal Engineer

    Tampa, Florida
    ... infrastructure (Compute, Storage, Network, Backups, DR, and Monitoring) Demonstrate and lead the ... infrastructure (Compute, Storage, Network, Backups, DR, and Monitoring) This job is assigned to an entity ...
  • Investigator Senior

    Tampa, Florida
    ... understanding of health insurance policies, health insurance claims handling and provider network contracting ...
  • Audit & Reimbursement III- Medicare Cost Report Audit

    TAMPA, Florida
    ... manager. Prepare detailed work papers and present findings in accordance with Government Auditing ... supervisory review of work completed by other associates. Analyze and interpret data per a provider’s ...
  • Audit & Reimbursement Sr

    TAMPA, Florida
    ... guidance from the manager Prepare detailed work papers and present findings in accordance with ...
  • Audit & Reimbursement II (US)

    TAMPA, Florida
    ... . Perform cost report desk reviews. Analyze and interpret data per a provider’s trial balance ... reviews of provider exception requests as assigned. Minimum Requirements: **Requires ...
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