- Datavant (Tallahassee, FL)
- …strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a ... experiences to realize our bold vision for healthcare. The Director of Client Success will report to the VP...updates, etc.). + Identify project risks that impact the quality of our product and services delivery to clients,… more
- CenterWell (Jacksonville, FL)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining… more
- CenterWell (Daytona Beach, FL)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... and help us put health first** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining… more
- Molina Healthcare (Orlando, FL)
- …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, NCQA… more
- CVS Health (Tallahassee, FL)
- …and treatment protocols for DSNP/MMP and other complex health populations to optimize risk adjustment , clinical quality , and care management. * Actively ... implementation of Medical Management programs to ensure providers deliver appropriate, high- quality , cost-effective Health Risk Assessments and other clinical… more
- MyFlorida (Monticello, FL)
- …Ensures the safety of individuals attending school clinics. Identifies students at risk for pregnancy, STDs, substance abuse, and social and behavioral health ... Control : Adheres to universal precautions. Triages all students for infection risk , and isolates those students identified as potentially infectious. Ensures school… more
- Bristol Myers Squibb (Tampa, FL)
- …in support of our company's goals. This position will report to the Director , Agile Sourcing Commercial. **The key competencies for this role include:** Procurement ... functions + Perform appropriate due diligence by issue spotting and assessing risk mitigating options + Execute contracts in a timely manner with appropriate… more
- Humana (Tallahassee, FL)
- …analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align… more
- Northrop Grumman (Melbourne, FL)
- …Division in Melbourne, FL. This position will be responsible for producing high quality analysis of supplier proposals. This level 2 Proposal Analyst will evaluate ... of work are Option Price Verifications and evaluating Requests for Equitable Adjustment (REAs). The Proposal Analyst will provide valuable insight into supplier … more