- CenterWell (Ormond Beach, FL)
- …involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Physician focuses on ... and quality for patients and monitors care using available data and chart reviews. . Assists in the coordination..."on-call" program of Conviva as needed. . Assures personal compliance with licensing, certification, and accrediting bodies. . Spend… more
- CenterWell (Tallahassee, FL)
- …moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Pharmacy Contracting ... Professional ensures contract compliance and performs analysis... and performs analysis regarding pharmacy claims and purchasing data to identify future contracting opportunities. Begins to influence… more
- CenterWell (Tallahassee, FL)
- …fast-growing organization changing how clinical care is delivered - using innovation, data , and technology to keep patients healthier. Our team is mission-driven, ... operations escalation point for key internal stakeholders + Analyze performance data and develop frameworks for continuous improvement processes, including how to… more
- CenterWell (Pembroke Pines, FL)
- …moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **Responsibilities:** . Evaluates ... and quality for patients and monitors care using available data and chart reviews. . Assists in the coordination..."on-call" program of Conviva as needed. . Assures personal compliance with licensing, certification, and accrediting bodies. . Spend… more
- V2X (Melbourne, FL)
- …sites, maintaining accurate inventory, supporting audits, and ensuring compliance with applicable agency-specific property management guidelines. Position will ... inventory equipment deliveries. + Oversee all property acquisition, asset tagging, and data entry / reconciliation in customer and program asset management systems.… more
- Compass Group, North America (Miami, FL)
- …Oversees MyOpportunity for hourly recruitment and onboarding. * Maintains and coordinates associate recognition programs. * Ensures compliance with all federal ... associate engagement survey interpretation/feedback process. * Attends department manager meetings to increase HR visibility, conducts classroom training,… more
- Humana (Tallahassee, FL)
- …responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new ... plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and developing...EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat… more
- CenterWell (Tampa, FL)
- …value-based care priorities like risk adjustment accuracy, quality performance, compliance , and effective patient management. **Key Responsibilities** + Deliver ... job aids, and point-of-care tools + Translate complex coding and compliance concepts into clear, clinically meaningful information for provider workflows +… more
- Community Health Systems (Key West, FL)
- …adherence to policies and procedures, managing patient flow, and maintaining compliance with regulatory standards. The Supervisor, Clinics works closely with ... employees to ensure effective use of resources. Consults with Manager or Director on staffing issues. + Assists with...policies, procedures and protocols. + **Quality Assurance and Regulatory Compliance ** + Ensures compliance with all relevant… more
- CAE USA INC (Tampa, FL)
- …+ Participate in all Mergers & Acquisition (M&A) activities including due diligence, data gathering, and leading integration efforts. + Designs a roadmap for the ... enterprise network to scale-out through M&A activities while maintaining command, control, compliance of the global enterprise network across all CAE USA sites. +… more