- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... of complex and varied healthcare data including financial modeling and risk forecasting Identify and/or implement improvements in quality control/timeliness… more
- AdventHealth (Altamonte Springs, FL)
- …of Altamonte Springs, our facility is consistently named Best Hospital for overall quality , reputation, doctors and nurses by local residents + As the largest ... under the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs;… more
- Aston Carter (Jacksonville, FL)
- Job Title: Sr. Procurement Consultant Job Description As a Director of Procurement, you will play a pivotal role in implementing cutting-edge procurement systems, ... cross-functionally to optimize spend, ensure regulatory compliance, and maintain quality standards. + Build and maintain strong relationships with internal… 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
- AdventHealth (Tampa, FL)
- …Guidelines and approved coding policies and procedures. . Participates in the mortality/ risk adjustment reviews when assigned. . Assists with post-payment DRG ... to come .Awarded the Get With The Guidelines - Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have… more