- 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
- Molina Healthcare (FL)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of ... running queries in Microsoft Azure or SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge * Mastery of Microsoft Office… more
- Molina Healthcare (St. Petersburg, FL)
- …: + Experience in healthcare provider engagement or payer-provider program management . + Familiarity with clinical, quality, or risk adjustment program ... - Provider Engagement** plays a key role in driving risk adjustment and quality performance outcomes through effective program...SKILLS & ABILITIES** : + 3-5 years of program/project management or healthcare operations experience. + Strong… more
- Molina Healthcare (Orlando, FL)
- …Condition Categories) Risk Adjustment Model + Background in supporting risk adjustment management activities and clinical informatics + Experience with ... codes are reported accurately to maintain compliance and to minimize risk and denials. **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with… more
- Molina Healthcare (St. Petersburg, FL)
- …monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment Data Validation, and other state specific ... Electronic Medical Record (EMR) access. This position would oversee management of training for all CDA team members as...are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. +… more
- Molina Healthcare (Miami, FL)
- …risks effects. Identifies and analyzes potential sources of loss to minimize risk and estimates the potential financial consequences of an occurring loss. Through ... **Knowledge/Skills/Abilities** * Assist in the daily operations of all aspects of risk adjustment data validation related activities, including, but not limited to:… more
- 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... Risk Management (ERM) Analyst is...and devising and recommending solutions **Preferred Qualifications** + Managed healthcare , health insurance, or other highly regulated industry +… more
- CVS Health (Tallahassee, FL)
- …2-3 years' experience in Healthcare , with a focus on third party risk management , finance, compliance, or audit. + Proficiency with Microsoft Word, Outlook, ... each and every day. **Position Summary** Join CVS Health's Enterprise Third Party Risk Management (ETPRM) team as a Senior Analyst, where you'll help drive … more
- 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