- ChenMed (Lakeland, FL)
- …hospitalist works for ChenMed or not). + Responsible for assessment, diagnosis, treatment, management , education, health promotion and care coordination and ... to function both independently and in collaboration with other health care professionals. The CMD will work...compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other… more
- Elevance Health (Tampa, FL)
- …Partners with other health plan/corporate leaders to develop and deliver innovative care management services, root cause analyses and solutions to achieve ... utilization management . + Partners with Provider Relations, Quality Management , Health Promotions, and...**Minimum Qualifications:** + Requires a BA/BS degree in a health care field and a minimum of… more
- Humana (Fort Lauderdale, FL)
- …Clinical Insights (population health , SDOH, behavioral health , pharmacy strategy, care management strategy), and Quality (withhold management , ... behavioral health trends. + Guide pharmacy and care management strategies using data-driven insights to...measurement. ** Quality :** + Oversee quality management , including withhold management , HEDIS … more
- CVS Health (Tallahassee, FL)
- …DSNP/MMP and other complex health populations to optimize risk adjustment, clinical quality , and care management . * Actively participate in meetings and ... with the Behavioral Health , Pharmacy, Member Outreach, Care Management , National Quality ...multiple stakeholders. * Help achieve or exceed all applicable HEDIS , Stars and local state performance targets and goals… more