- Molina Healthcare (Tampa, FL)
- …and manages key performance metrics and develops goals and strategies to achieve corporate objectives. * Serves as mentor, coach and leader to the Application Design ... with AI Data Integration._** + **_Experience with Member, Enrollment, and Claims applications -_** **which underpin essential business functions such as HEDIS… more
- AdventHealth (Maitland, FL)
- …management, or medical economics experience Proficiency in understanding professional and facility claims and managed care concepts such as risk adjustment, ... methodology, data tools, modeling, managing revenue, and managing and mentoring of director reports. Must be able to complete extensive and complex financial,… more
- Stantec (Orlando, FL)
- …Management team and Discipline Leads. - Proactive interface and communication with Corporate Risk Management, as appropriate. - Proactive interface and ... be based on Project/Client needs as well as proactive Claims / Risk mitigation. - Oversee and approve development...communication with Corporate Financial Services, as appropriate. - Proactive interface and… more
- Molina Healthcare (Jacksonville, FL)
- **Job Description** **Job Summary** The AVP, Risk Adjustment Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of ... integrity of enterprise revenue, and enabling the organization's overall risk adjustment strategy. Knowledge/Skills/Abilities + Responsible for encounters accuracy &… more
- Molina Healthcare (Jacksonville, FL)
- …laws and regulations, which will protect the Business from liability and potential risk . Ensures that the Business understands and complies with applicable laws and ... and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general development of the Operational Oversight… more