- Molina Healthcare (FL)
- …and productivity is important. Preferred candidates will have previous case management , managed care, hospital, and/or home health experience._ _This role is ... 8:00AM to 5:00PM EST (No weekends or Holidays)_ **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... planners, as well as with hospitalists, outpatient providers, facility staff, and family/support network , as needed or at the request of member. + Ensures member… more
- Matrix Providers (Jacksonville, FL)
- LPN/LVN - Pain Management Location: Jacksonville, FL, United States Healthcare Provider Type : Ancillary Services (MQS) START YOUR APPLICATION ... for Healthcare Providers, American Heart Association, or American Red Cross Healthcare Provider Course. Advance Cardiac Life Support (ACLS). + Experience:… more
- HCA Healthcare (Ocala, FL)
- …is seeking a family Medicine ARNP for their growing primary care network . **Qualified Candidates:** + Must be board certified by respective accredited professional ... of services including same-day sick appointments, well-woman exams, senior care, diabetes management and pediatric care + Traditional office hours / Monday through… more
- Datavant (Tallahassee, FL)
- …to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases ... working across different facets within prospective and concurrent solutions. + Provide mentorship, performance management , and career development aligned with… more
- CVS Health (Tallahassee, FL)
- …supporting the highest standards of practice performance and quality within our organization's network of healthcare providers. The primary focus is to identify ... **Quality Assurance** : Conduct regular audits, reviews, and assessments of provider practices, documentation and compliance. Provide feedback and… more
- Highmark Health (Tallahassee, FL)
- …TQI, TQC or other quality management certification. + Experiencein health plan provider network performance management , population health management , ... will include elements of team leadership, problem-solving, data analysis, project management , communication, implementation, and provider and/or provider… more
- Highmark Health (Tallahassee, FL)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- AdventHealth (Maitland, FL)
- …of medical practices within clinically integrated networks, ACOs, and other provider network arrangements, supporting the value-based enterprise of AdventHealth. ... and satisfaction supporting the clinically integrated networks, ACOs, and other provider network arrangements, supporting the value-based enterprise of… more
- CenterWell (Tallahassee, FL)
- …help us put health first** Associate Director will lead the Revenue Cycle Management team for the CenterWell Senior Primary Care Organization. This individual will ... Operations. The Associate Director is responsible for internal revenue cycle management (RCM) teams and third-party RCM vendors. Responsible for leading ongoing… more