- Highmark Health (Tallahassee, FL)
- …clinical setting. + Experiencein Lean, Six Sigma, TQI, TQC or other quality management certification. + Experiencein health plan provider network performance ... ACA, and commercial populations with the goal of maximizing quality while reducing healthcare costs. + Support...+ 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health management… more
- CenterWell (Daytona Beach, FL)
- …our primary care team, combining clinical practice with leadership and operational management to ensure high- quality patient care and alignment with Value-Based ... and supervise clinical teams to staff and develop a high- quality clinical team with strong engagement, patient-first culture, and...Team (CIT) resources and programs for transitions of care management (TCM), high- risk patient management … more
- Sumitomo Pharma (Tallahassee, FL)
- …platforms including contract lifecycle management , e-sourcing, spend analytics, and supplier risk management . A strong desire and innate capability to learn. ... management , supplier market intelligence, financial productivity, supplier performance management , and risk mitigation. The Strategic Sourcing Manager must… more
- CenterWell (Tallahassee, FL)
- …play a critical role in improving patient outcomes through effective medication management , patient education, and collaboration with our healthcare team. The ... + Disease state education for patients on appropriate use of medications and self- management + Engage in quality improvement initiatives aimed at enhancing… more
- Elevance Health (Tampa, FL)
- …Provides valuable insights to the IT and business to improve the effectiveness of risk management , control, and governance processes. **How you will make an ... Assessments include IT general controls (eg, access and change management ) as well as other IT risk ...NIST CSF, ISO 2000x, and/or COBIT preferred. + Project management , process improvement, and quality oversight backgrounds… more
- Cleveland Clinic (Weston, FL)
- …be a Quality Assurance (QA) report you have written, such as one involving risk management or implementation of action plans. You may redact or remove any ... Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare . Cleveland Clinic is recognized as one of the top hospitals in… more
- Datavant (Tallahassee, FL)
- …realize our bold vision for healthcare . The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...+ Create methods to share information on the program, quality , and initiatives with Management on a… more
- University of Miami (Miami, FL)
- …key stakeholders to plan, organize and monitor all processes related to organizational quality outcomes measurement, risk management , patient safety, and ... Line. + Knowledgeable of the Joint Commission's standards on Accreditation of Healthcare Organizations, National Committee on Quality Assurance, and State and… more
- Evolent (Tallahassee, FL)
- …and data manipulation + Knowledge of health insurance financial business cycle, healthcare quality reporting, and benchmarking + Ability to communicate clearly ... on organizational performance and patient health. This role supports capitated risk and value-based strategy development, medical cost management activity,… more
- ChenMed (Orlando, FL)
- …Medical Director, Cardiology to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and ... + Conflict management and resolution skills, and ideally, experience of population risk management or complex chronic disease care management + Effective… more