• Director, Prospective + Concurrent Risk Adjustment…

    Datavant (Tallahassee, FL)
    …trusted partner and clinical product expert for internal stakeholders (Sales, Clinical , Operations , Client Success) and external clients (health plans, ACOs, ... managers and product designers and collaborate deeply with data science, clinical experts, engineering, and commercial teams to accelerate innovative solutions that… more
    Datavant (08/08/25)
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  • Nurse Practitioner

    ChenMed (Tamarac, FL)
    …in internal or family medicine who plays a key role as part of the clinical operations team providing direct patient care and providing assessments primarily in ... service, productivity and teamwork. It also includes the participation in clinical rounds and conferences plus in-depth documentation through written progress notes… more
    ChenMed (08/02/25)
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  • Senior Risk & Compliance Analyst

    Highmark Health (Tallahassee, FL)
    …+ Other duties as assigned or requested **PREFERRED RESPONSIBILITIES** + Clinical operations analysis (monitors and analyzes medical management activities ... Description :** **JOB SUMMARY** This job works collaboratively riskacross Highmark Health clinical areas to support clinical quality auditing, The Senior Risk… more
    Highmark Health (07/04/25)
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  • Risk Adjustment Audit Operations Analyst…

    Molina Healthcare (St. Petersburg, FL)
    …required data elements. + Collaborate with internal teams-including IT, Risk Adjustment operations , and clinical teams-to ensure accurate and consistent data ... + 0-2 years of experience in data analytics, business intelligence, or healthcare operations + Foundational proficiency in SQL and exposure to Python or another… more
    Molina Healthcare (08/08/25)
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  • Associate Medical Director - Orthopedic Spine

    Elevance Health (Tampa, FL)
    ** Clinical Operations Associate Medical Director** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management** **Schedule: 10:30 AM-7 PM Central** ... unless an accommodation is granted as required by law._ The ** Clinical Operations Associate Medical Director - Orthopedic Spine Surgery** is responsible for… more
    Elevance Health (08/02/25)
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  • Vice President, Strategic Accounts

    Evolent (Tallahassee, FL)
    …(including Provider Solutions, Strategic Accounts, Analytics, Client Finance, Implementation, Clinical Operations , Medical, Quality, and Call Center Teams) ... client partners, including the CEO, CFO, CMO, pharmacy leadership, clinical operations /UM, medical economics/actuarial services/analytics, and vendor management.… more
    Evolent (08/27/25)
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  • Director, Physician Leadership - Medical Directors…

    Humana (Tallahassee, FL)
    …be passionate about collaborating and partnering across the enterprise (eg, with Clinical Operations , Markets, Care Management, Analytics, Pharmacy, etc.) to ... Technology_ _:_ Support efforts to improve the efficiency of health plan operations (utilization management and provider clinical contracting) to reduce friction… more
    Humana (08/21/25)
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  • Home Health Director

    BAYADA Home Health Care (Jacksonville, FL)
    …communication skills. Demonstrated ability to lead multidisciplinary teams and manage clinical operations effectively. **Preferred Qualifications:** 3-5 years of ... in healthcare administration, regulatory compliance (Medicare Conditions of Participation), clinical coordination, and business operations . This individual will… more
    BAYADA Home Health Care (08/09/25)
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  • Division Director of Pathology

    HCA Healthcare (St. Petersburg, FL)
    …Director and Divisional and hospital leadership to ensure their HBP services and clinical operations needs are met + Assists in resolving any ... experience + Effective working knowledge of healthcare systems management for clinical operations . + CERTIFICATE/LICENSE - None required. Physician Services… more
    HCA Healthcare (08/21/25)
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  • OPO Organ Allocation Coordinator 1

    University of Miami (Miami, FL)
    …of organ donation/recovery process in a timely manner. + Keeps UM LAORA Clinical Operations Director and Organ Allocation and Recovery Managers apprised of ... for local procurements and abroad (ie, requiring flight transportation) with clinical recovery and preservation of organs for transplantation, and undertakes… more
    University of Miami (08/26/25)
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