• Manager of Quality Risk

    HCA Healthcare (Brandon, FL)
    …Center we support our colleagues in their positions. Join our Team as a Manager of Quality Risk Management and access programs to assist with every stage of ... and job skills. Apply today for our Manager of Quality Risk Management opening and...General Surgery, Gynecology, Ophthalmology, Orthopedic, ENT, Plastics, Podiatry, Pain Management and Urology procedures. HCA Healthcare has… more
    HCA Healthcare (07/19/25)
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  • Risk & Quality Performance Manager…

    Molina Healthcare (FL)
    …& ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge * Mastery… more
    Molina Healthcare (07/31/25)
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  • Program Manager - Provider Engagement, Risk

    Molina Healthcare (St. Petersburg, FL)
    …Engagement** plays a key role in driving risk adjustment and quality performance outcomes through effective program management , operational execution, and ... in healthcare provider engagement or payer-provider program management . + Familiarity with clinical, quality , or...payer-provider program management . + Familiarity with clinical, quality , or risk adjustment program workflows. +… more
    Molina Healthcare (08/31/25)
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  • Vice President, Clinical Effectiveness

    Option Care Health (Tallahassee, FL)
    …Qualifications & Interests (PQIs) Participation in professional organizations related to healthcare , risk management or quality management . Due to ... professional service opportunities into tangible revenue growth and value Proven change management leadership experience related to quality , safety, and improved… more
    Option Care Health (06/12/25)
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  • Senior Risk Manager

    HCA Healthcare (Atlantis, FL)
    …the clinical risk and patient safety program on a day-to-day basis and claims management program and risk management education for the facility. Able to ... Do you have the career opportunities as a(an) Senior Risk Manager you want with your current employer? We...which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** HCA Florida… more
    HCA Healthcare (08/20/25)
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  • Director, Clinical Data Acquisition (HEDIS…

    Molina Healthcare (St. Petersburg, FL)
    …requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops ... of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment Data Validation, and...deliverables. This role also works with the Health Plan quality leads to strategically plan for supplemental data source… more
    Molina Healthcare (08/21/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (St. Petersburg, FL)
    …HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease ... management , and evidence-based guidelines. + Experience in Utilization/ Quality Program management + HMO/Managed care experience **PREFERRED LICENSE,… more
    Molina Healthcare (08/28/25)
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  • System Director of Risk Management

    Community Health Systems (Naples, FL)
    Healthcare Risk Manager (LHRM) **(required)** + Certified Professional in Healthcare Risk Management (CPHRM) and/or Certified in Healthcare ... **(preferred)** **Experience** + 3-5 years of progressive leadership in healthcare risk management (required) +...and quality care The **System Director of Risk Management ** is a vital leader in… more
    Community Health Systems (06/28/25)
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  • Enterprise Risk Management Analyst…

    Prime Therapeutics (Tallahassee, FL)
    …our passion and drives every decision we make. **Job Posting Title** Enterprise Risk Management Analyst Senior - Remote **Job Description** The Senior Enterprise ... Risk Management (ERM) Analyst is responsible for...and devising and recommending solutions **Preferred Qualifications** + Managed healthcare , health insurance, or other highly regulated industry +… more
    Prime Therapeutics (08/31/25)
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  • Enterprise Risk Management Analyst…

    Prime Therapeutics (Tallahassee, FL)
    …fuels our passion and drives every decision we make. **Job Posting Title** Enterprise Risk Management Analyst - Remote **Job Description** The Enterprise Risk ... and developing strategies to mitigate and manage risks. The role supports implements risk management policies and procedures, conducts risk assessments,… more
    Prime Therapeutics (08/31/25)
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