- CVS Health (Plantation, FL)
- … management and audit committees, ensuring timeliness, completeness, and appropriate risk management . + Develops and maintains working relationships with key ... of audit processes and oversees the execution of procedures with quality , efficiency, and completeness against deadlines. + Conducts and/or participates in… more
- Wolters Kluwer (Tampa, FL)
- …effective stakeholder relationships + **Project Tools Proficiency** : Skilled with project management software + ** Risk Assessment** : Conduct assessments and ... Implement changes and manage project scope effectively + Ensure adherence to project management standards + Assist in preparing high- quality project reports and… more
- Humana (Tallahassee, FL)
- …impacting approximately $300M in annual revenue. + Collaborate with peer leaders in Risk Management and Grievances & Appeals to implement best practices and ... and provider complaints, influencing changes across insurance operations for higher quality and operational efficiency. + Ensure enrollment and claims processes… more
- J&J Family of Companies (Jacksonville, FL)
- …will involve using process development fundamentals to support corrections, improvements, and risk management . + Facilitate and drive continuous improvement of ... Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where...reach and size for good, and strive to put quality eye care within reach of everyone, everywhere. Visit… more
- Aspen Medical (Jacksonville, FL)
- …CMOs participate in strategic planning, budgeting, and developing clinical services. Risk Management : They address patient incidents and reportable incidents, ... Assurance: They oversee medical staff, ensuring adherence to healthcare regulations, safety standards, and quality improvement...upholding organization's integrity. Staff Management : CMOs are involved in recruitment, training, and orientation… more
- Humana (Tallahassee, FL)
- …+ Marketing & Customer Engagement (including MarketPoint) + Finance, Accounting & Risk Management + Human Resources & Organizational Effectiveness **Location:** ... launch a successful post-MBA or graduate school career in healthcare . We are looking for talented interns who are...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Humana (Tallahassee, FL)
- …impact** **Required Qualifications** + 5 or more years of progressive network management experience including hospital contracting and network administration in a ... healthcare company + 2 or more years of project...+ Experience leading people/teams highly preferred + Experience with ACO/ Risk Contracting + Experience with Value Based Contracting **Additional… more
- Bluestone Physician Services (Orlando, FL)
- …and tailored to their unique needs. Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams ... care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive...+ Collaborating with primary care teams to ensure high quality team-based care + Use utilization management … more
- Northwest Florida Community Hospital (Chipley, FL)
- …or related field Experience: A minimum of three (3) years executive management and finance experience; healthcare preferred. Work record that demonstrates ... knowledge of medical terminology, negotiating skills, and knowledge of healthcare industry key performance indicators. Licenses, Certifications and/or Registrations:… more
- Humana (Tallahassee, FL)
- …AI modules and pipelines, ensuring adherence to best practices in accountable AI for effective risk management and measurement. Join us in shaping the future of ... forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We are...healthcare through AI excellence. We are seeking a Lead… more