- Molina Healthcare (St. Petersburg, FL)
- …activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, ... focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.… more
- NASCO (Tallahassee, FL)
- **Overview** Under general direction, the Director of Data and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance ... leadership regarding strategic direction, outcomes, staffing, and other assignments. The Director is a trusted advisor to technology and product leadership,… more
- AdventHealth (Zephyrhills, FL)
- …caring for:** AdventHealth Zephyrhills + First in Florida to earn Advanced Certification for Hip Replacement and Knee Replacement (Joint Commission) + Accredited ... culture and music + Premium shopping outlets **The role you'll contribute:** The Director of Risk Management develops and administers the Risk Management Program for… more
- Molina Healthcare (Tampa, FL)
- …with AI Data Integration._** + **_Experience with Member, Enrollment, and Claims applications -_** **which underpin essential business functions such as HEDIS ... Databricks._** + **_Python._** + **_Spark._** + **_QNXT._** **Preferred License, Certification , Association** Microsoft Technology, Mobility, ITIL To all current… more
- US Air Force - Agency Wide (Patrick AFB, FL)
- …academic, and industry organizations. Serves as a special advisor to the Executive Director , 16th Air Force and the AFTAC Commander. Represents the AFTAC on matters ... decisions. B. JOINT DUTY ASSIGNMENT REQUIREMENT: Joint IC Duty certification is a prerequisite for appointment to senior executive,...duty credit by submitting a previously approved Joint Duty Claim Form(s) or by requesting approval of a joint… more
- AdventHealth (Maitland, FL)
- …methodology, data tools, modeling, managing revenue, and managing and mentoring of director reports. Must be able to complete extensive and complex financial, ... sources using knowledge of healthcare managed care contracts and healthcare administrative claims data Reviews existing complex models and implements them on new… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …Possible $1,000 per year reimbursement (must be full-time with board certification ) Malpractice: Free liability protection with tail coverage provided Contract: No ... core specialty training program (Dermatology) leading to eligibility for board certification . (NOTE: VA physicians involved in academic training programs may be… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …Possible $1,000 per year reimbursement (must be full-time with board certification ) Malpractice: Free liability protection with tail coverage provided Contract: No ... specialty training program in Diagnostic Radiology leading to eligibility for board certification . (NOTE: VA physicians involved in academic training programs may be… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …approved by their supervisor, service chief and (for trainees) the Psychology Training Director or Associate Training Director . Serves as a consultant to other ... (HCP). Qualifications Applicants pending the completion of educational or certification /licensure requirements may be referred and tentatively selected but may… more
- Polk County Public Schools (Bartow, FL)
- …and risk management administration. This position gathers information, reviews claims , communicates and coordinates information to third-party administrators (TPA), ... Expedites all legal requests, subpoenas, and correspondence. * Advises manager or director of all risk management issues through memos, reports, and correspondence.… more