• Director Reimbursement Design & Market Evaluation

    Highmark Health (Tallahassee, FL)
    … share models across all lines of business with the goal of maximizing quality while reducing healthcare costs. Develops and maintains a 3-5 year strategic ... Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved… more
    Highmark Health (07/30/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Tallahassee, FL)
    …compliance risk across the organization. This team ensures that healthcare providers align their operational practices with legal requirements while fostering ... + Bachelor's degree + 3 or more years of healthcare experience in revenue cycle management (related...Ability to analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk more
    Humana (08/23/25)
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  • Chief Medical Officer AdventHealth Children's

    AdventHealth (Altamonte Springs, FL)
    …as a leading care provider. + Engage in initiatives concerning patient safety, quality , infection control, risk management , and patient service, particularly ... Business acumen covering strategic planning, information systems utilization, financial management , budgeting, reimbursement, managed care, healthcare economics,… more
    AdventHealth (08/07/25)
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  • Primary Care Physician

    ChenMed (Kenneth City, FL)
    …and medical directors to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other ... and mission-driven, primary care organization, is currently one of the most successful full- risk Medicare Advantage providers in the nation and has a vision to be… more
    ChenMed (08/28/25)
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  • Senior Project Manager (Remote Opportunity)

    VetsEZ (FL)
    …and alignment of project objectives. + Lead planning, execution, monitoring, and risk management across multiple concurrent projects, including development and ... within the continental US. Responsibilities: + Provide overall project leadership and management of scope, schedule, budget, resources, and quality , ensuring… more
    VetsEZ (08/28/25)
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  • Chief Medical Officer

    Ascension Health (Jacksonville, FL)
    …practices to support, promote and oversee patient safety, continuous performance and quality improvement, risk management and efficient resource utilization. ... + A strong commitment to the mission of Catholic healthcare and a personal and professional presence to provide...a multi-site and growing regional health system. + A management style which communicates a sense of quality more
    Ascension Health (08/23/25)
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  • Nurse Practitioner

    ChenMed (Tamarac, FL)
    …and medical directors to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other ... of the plan of care, health education, specialty referrals, case management referrals, follow-up and clear documentation according to ChenMed standards for… more
    ChenMed (08/02/25)
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  • Senior Client Coding Project Manager

    Datavant (Tallahassee, FL)
    …to clients describing Apixio's products, how to effectively use Apixio's coding and management tools, and ensuring alignment on coding quality . + Oversee the ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...them through collaboration with those responsible for coder performance management . + Drive quality assurance and performance… more
    Datavant (06/28/25)
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  • Internal Auditor

    Elevance Health (Tampa, FL)
    …They will provide valuable insights to the business to improve the effectiveness of risk management , control and governance processes. **How you will make an ... + Strong critical thinking skills. + CPA/CIA/CISA certification. + Project management , process improvement, and quality oversight background. Public accounting… more
    Elevance Health (08/27/25)
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  • Medical Records Technician (CDIS-Out…

    Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
    Summary This position is located in the Health Information Management Section of the Medical Administration Service at VAMC West Palm Beach, Florida. The West Palm ... research. Responsibilities CDISs are responsible for facilitating improved overall quality , education, and completeness and accuracy of medical record documentation… more
    Veterans Affairs, Veterans Health Administration (08/28/25)
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