- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition is responsible for the implementation, monitoring, and oversight of all chart ... collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment Data Validation, and other state specific audit projects and deliverables. This role… more
- HCA Healthcare (Palm Harbor, FL)
- …of CPT & ICD10 coding is desired. + Ability to perform detailed data analysis , identify trends, improve processes and establish processes and guidelines ... over 156,000 hours volunteering in our communities. As a Director of Revenue with HCA Healthcare you...processes-front end and back end, physician query processes, denial analysis , coding analysis , insurance company reimbursement … more
- HCA Healthcare (Tallahassee, FL)
- …**Introduction** Do you want to join an organization that invests in you as a Director of Performance Improvement Labor? At HCA Healthcare , you come first. HCA ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...make a difference. We are looking for a dedicated Director of Performance Improvement Labor like you to be… more
- Molina Healthcare (Orlando, FL)
- …to provider networks and other end users for operational and strategic analysis . **Knowledge/Skills/Abilities** The Director of Reporting & Analytics is a ... **Job Description** **Job Summary** Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing,… more
- Molina Healthcare (Jacksonville, FL)
- …Health Plan requirements * Works with Claims, Configuration, Contracting, Provider Data Management, and other business partners to resolve provider concerns related ... to their claim's dispositions. * Provides robust root cause analysis identifying top drivers and works with Health Plans and other business partners to improve and… more
- WTW (Tampa, FL)
- **Description** As a Health and Benefits Financial/Actuarial Director , you will serve as the financial lead for large, complex client assignments. You'll leverage ... design and innovative financial solutions. You will apply your financial management and data analytics expertise to solve complex client problems and to lead the… more
- Grifols Shared Services North America, Inc (Sarasota, FL)
- …medical affairs) regarding field-based activities, medical insights, competitor activity gathering, data analysis , and evaluation of new and innovative ... an international team working to improve the future of healthcare ? Do you want to enhance the lives of...and regions. The primary responsibility of the MSL Field Director is the management, performance, and coaching of a… more
- Humana (Tallahassee, FL)
- … Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable ... on various behavioral health topics to the clinical operations team and healthcare organization. The Medical Director 's work includes computer based review… more
- AdventHealth (Orlando, FL)
- …strategies. The Director of Clinical outcomes drives performance metrics, analyzes data trends, and coaches nursing teams to improve performance. This leader is ... inpatients and 125,000 outpatients each year **The role you'll contribute:** The Director of Clinical Outcomes is a registered professional nurse with comprehensive… more
- Humana (Tallahassee, FL)
- … Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable ... **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical… more