Information Technology Network Engineer III (Network Management) * FgsInformation Technology Network Engineer III (Network Management) *FloridaDemonstrating an unyielding commitment to our customers, superior trust and dedication with our partners, and leading edge technical expertise over the past seven years, FGS has experienced explosive growth providing superior services throughout the world, from North America and the Pacific Rim to the Middle East and Europe. Company Overview: FGS, LLC is an international, leading-edge provider of technical services to include Secure Information Systems, Security and Engineering and Intelligence Analysis.
NewProvider Network Management Director (Us) Elevance HealthProvider Network Management Director (Us)Tampa, FL$103,120–$177,882 / yearMinimum Qualifications: Requires a BA/BS degree and a minimum of 8 years' experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background. Serves as a subject matter expert for local contracting efforts or in highly specialized components of the contracting process and serves as subject matter expert for that area for a business unit.
Provider Network Management Director (US) Elevance Health IncProvider Network Management Director (US)Tampa, FL$103,120–$177,882 / yearMinimum Qualifications: Requires a BA/BS degree and a minimum of 8 years' experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background. Serves as a subject matter expert for local contracting efforts or in highly specialized components of the contracting process and serves as subject matter expert for that area for a business unit.
Sr Manager Network Business Ops & Program Management GuideWell Mutual Holding CorpSr Manager Network Business Ops & Program ManagementFL$109,300–$177,600 / yearThis position is accountable for implementing sustainable and scalable programs and/or capabilities to ensure best in class Network Management practices with the intent of operational excellence while upholding compliance regulations imparted by multiple regulatory agencies including CMS, AHCA, and NCQA as well as compliance with the Blue Cross Blue Shield Association (BCBSA). Lead Network Regulatory Compliance activities: quarterly/annual filings (CMS, NCQA, AHCA), certifications, product/network filings, NSA processes (IDR, COC), and audit coordination.
Sr Manager Network Business Ops & Program Management Guide WellSr Manager Network Business Ops & Program ManagementFL, FL$109,300–$177,600 / yearThis position is accountable for implementing sustainable and scalable programs and/or capabilities to ensure best in class Network Management practices with the intent of operational excellence while upholding compliance regulations imparted by multiple regulatory agencies including CMS, AHCA, and NCQA as well as compliance with the Blue Cross Blue Shield Association (BCBSA). is accountable to lead one or more teams in achieving targeted outcomes/results and capabilities for key strategic initiatives in support of network development, network management and network operations.
Senior Director, Product Management - EA Sports Network Electronic Arts IncSenior Director, Product Management - EA Sports NetworkOrlando, FLLead Tactical Integration: Work directly with studio-embedded product managers, lead producers, and tech directors to schedule and execute the integration of. analytical business cases and financial models, projecting engagement, retention, player lifetime value (LTV), and network ROI.
Consultant - Network Business Ops & Program Management GuideWell Mutual Holding CorpConsultant - Network Business Ops & Program ManagementFL$92,100–$149,600 / yearThey participate in and/or lead critical, high-risk, complex initiatives, programs, and projects, have frequent contact with internal and external business partners, facilitate/ influence strategic thinking and direction and influence peers and leaders across the organization to act on issues that have organization-wide impact. Has frequent contact with internal and external business partners to obtain and share information for influencing decisions, selling concepts, and/or providing advice and counsel that impacts business objectives including provider program initiatives/network compliance efforts and network strategies.
Consultant - Network Business Ops & Program Management Guide WellConsultant - Network Business Ops & Program ManagementFL, FL$92,100–$149,600 / yearThey participate in and/or lead critical, high-risk, complex initiatives, programs, and projects, have frequent contact with internal and external business partners, facilitate/ influence strategic thinking and direction and influence peers and leaders across the organization to act on issues that have organization-wide impact. Has frequent contact with internal and external business partners to obtain and share information for influencing decisions, selling concepts, and/or providing advice and counsel that impacts business objectives including provider program initiatives/network compliance efforts and network strategies.
Principal Network Engineer/Sr. Principal Network Engineer Northrop Grumman CorpPrincipal Network Engineer/Sr. Principal Network EngineerMelbourne, FL$98,400–$147,600 / yearMust have a Bachelor's degree in a Science, Technology, Engineering or Mathematics (STEM) discipline from an accredited university AND 5 years of related professional/military experience in Engineering; OR a Master's degree in a STEM discipline from an accredited university AND 3 years of related professional/military experience in Engineering; or a Ph. Must have a Bachelor's degree in a Science, Technology, Engineering or Mathematics (STEM) discipline from an accredited university AND 8 years of related professional/military experience in Engineering; OR a Master's degree in a STEM discipline from an accredited university AND 6 years of related professional/military experience in Engineering; or a Ph.
Manager, Network Contracting (Florida) Oscar HealthManager, Network Contracting (Florida)Miami, FLRemote$100,602–$132,040 / yearThe Manager, Network Contracting & Services is responsible for managing a team of individuals who support specific healthcare providers in Oscar's network (hospital/health systems and individual provider groups) to build and maintain a robust network in assigned market/region; while also ensuring access to quality care and optimizing costs by analyzing provider performance and negotiating reimbursement rates, often involving complex contract terms and compliance with regulatory guidelines. The Manager also supports network growth and recruiting efforts by engaging with prospective providers directly; assisting with resolution of provider issues; supporting cost- saving initiatives; executing the local network strategy; and ensuring providers across our service area have the information and support they need to provide best-in-class member care.
NewNetwork Performance Manager - Florida (ACO) Astrana Health, Inc.Network Performance Manager - Florida (ACO)East Coast, FloridaRemote$70,000–$95,000 / yearImplement provider change management activities at the practice and market level: organize and structure provide education sessions, develop tools with their team to establish provider profiles and insights to identify key areas in the workflow that can improve to better align in office activities such as AWV workflow and scheduling processes. Reporting to the Senior Director of Operations, the Manager serves as a strategic partner to internal stakeholders and external providers, integrating data analysis, provider engagement, and operational execution to drive sustainable performance improvement and alignment with regulatory and value-based care requirements.
Pharmacy Network Manager (Aetna) CVS Health CorpPharmacy Network Manager (Aetna)FL$54,300–$159,120 / yearRequired Qualifications: Minimum of 5 years of healthcare network management experience with demonstrated success in managing statewide and multi-state networks, completing regulatory state filings ensuring network adequacy and compliance, and overseeing pharmacy operations. Minimum of 2 years of experience demonstrating strong communication and relationship management skills, with a proven ability to build and maintain stakeholder trust, foster cross-functional collaboration, and contribute to successful project delivery and operational outcomes.
Director, Provider Network Operations PacificSourceDirector, Provider Network OperationsFloridaGuide strategic initiatives for the Provider Network Operations division, including network setup and maintenance, provider data integrity, provider education and service, contract implementation performance, provider-related claims, provider setup and audits, corrective action plan assessment and closure, and provider directory accuracy improvements. This position leads both department-specific and cross departmental planning and execution efforts, to maintain high levels of performance in enterprise level and Provider Network level key performance indicators.
CPA Network Manager NoGigiddyCPA Network ManagerJacksonville, FLAs a CPA Network Manager, you will collaborate closely with affiliates, marketing teams, and management to ensure the success of our advertising initiatives. NoGigiddy is seeking a results-driven and strategic CPA Network Manager to join our growing team.
Infrastructure & Networking Manager Shoes For Crews North America, LLCInfrastructure & Networking ManagerBoca Raton, FLShoes For Crews is a dynamic designer, manufacturer, and B2B marketer of technologically advanced, top-rated slip-resistant footwear serving the foodservice, hospitality, industrial, and healthcare industries, protecting over 3.5 million workers annually across more than 120,000 workplaces. We are seeking a hands-on Infrastructure & Networking Manager to own our cloud and on-premise environment, lead our help desk team, and take full operational responsibility for the networks, systems, and security that power Shoes For Crews.
Network Relations Manager - Jacksonville or Orlando, Florida Area CVS Health CorpNetwork Relations Manager - Jacksonville or Orlando, Florida AreaFernandina Beach, FL$60,300–$132,600 / yearDevelop tactical and operational plans to expand and enhance the network, working closely with business development teams to identify and onboard new providers in strategic areas. Stay updated on industry trends, regulatory changes, and market dynamics that may impact network provider relationships, and proactively communicate relevant information to internal stakeholders.
Network Relations Manager – Jacksonville or Orlando, Florida Area CVS HealthNetwork Relations Manager – Jacksonville or Orlando, Florida AreaOrlando, FloridaDevelop tactical and operational plans to expand and enhance the network, working closely with business development teams to identify and onboard new providers in strategic areas. Stay updated on industry trends, regulatory changes, and market dynamics that may impact network provider relationships, and proactively communicate relevant information to internal stakeholders.
Director, Provider Network Operations PacificSource Health PlansDirector, Provider Network OperationsFL$108,468.62–$184,396.64 / yearEssential Responsibilities: Guide strategic initiatives for the Provider Network Operations division, including network setup and maintenance, provider data integrity, provider education and service, contract implementation performance, provider-related claims, provider setup and audits, corrective action plan assessment and closure, and provider directory accuracy improvements. This position leads both department-specific and cross departmental planning and execution efforts, to maintain high levels of performance in enterprise level and Provider Network level key performance indicators.
Infrastructure & Networking Manager Shoes For Crews, LLCInfrastructure & Networking ManagerBoca Raton, FLShoes For Crews is a dynamic designer, manufacturer, and B2B marketer of technologically advanced, top-rated slip-resistant footwear serving the foodservice, hospitality, industrial, and healthcare industries, protecting over 3.5 million workers annually across more than 120,000 workplaces. We are seeking a hands-on Infrastructure & Networking Manager to own our cloud and on-premise environment, lead our help desk team, and take full operational responsibility for the networks, systems, and security that power Shoes For Crews.
Cyber Zscaler Network Security Engineering Manager / Manager, Strategy, Growth, And Transformation DeloitteCyber Zscaler Network Security Engineering Manager / Manager, Strategy, Growth, And TransformationTampa, FL$134,500–$265,100 / year3+ years of experience designing, deploying, and managing Zscaler Cloud Connector, including deployment within cloud environments (AWS, Azure, and/or GCP), workload-to-internet and workload-to-workload traffic inspection, and integration with cloud-native networking constructs (e.g., VPCs, VNets, Transit Gateways). 7+ years of hands-on experience designing, deploying, and managing Zscaler Private Access (ZPA), including application segment configuration, access policies, connector deployment, and zero trust network access (ZTNA) architectures replacing legacy VPN infrastructure.