- Molina Healthcare (St. Petersburg, FL)
- …Risk Adjustment operations, and clinical teams-to ensure accurate and consistent data interpretation . + Help translate CMS audit requirements into data tasks under ... the guidance of senior analysts. + Document data sourcing steps, methodologies, and business rules to promote traceability and team learning. + Participate in internal simulations and mock audits as part of proactive audit readiness. + Contribute to the… more
- ARAMARK (Fort Lauderdale, FL)
- …investigation and follow, Corrective action/performance management consulting, and Policy interpretation + Employee Engagement Initiatives ? Engagement Action Plan ... development and follow-up, corporate engagement and celebration activities point of contact/coordinator + Talent Acquisition ? corporate Accelerate to Leadership and Step up to Leadership point of contact + HR metrics reporting and analysis + Benefits and… more
- CHS (Clearwater, FL)
- …prospective new clients. This assistance will be focused on evaluation and interpretation of benefits, advancements in health care requiring updates to programs and ... plans, and advancements in administration, including use of AI. * Ensuring that daily reporting provides an accurate portrayal of claims on hand, including those received by the clearinghouse, sent to re-pricing entities, unable to be systematically "matched",… more
- Prime Therapeutics (Tallahassee, FL)
- …and GPO negotiation, rate and utilization management policy creation and interpretation , formulary modeling and pull through execution activities. + Lead the ... government programs negotiator and client team. + Lead and provide oversight of efforts related to Prime's Group Purchasing Organization's (GPO) ensuring effective communication and strategic collaboration with GPO for all strategies including rebate bid… more
- HCA Healthcare (Sun City Center, FL)
- …you will perform a variety of duties including EKG monitoring and interpretation , compiling, transcribing, preparing and maintaining records for your unit. You will ... also provide information and communication services to visitors and staff and assist nursing staff in maintaining efficient operations on the unit. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …Mentor team members on business reviews, reporting systems, and analytics interpretation , working with Business Analysis to enhance field intelligence capabilities. ... + **Compliance Management:** Must comply with all state and federal laws, regulations and guidelines including PhRMA Code on Interactions with Healthcare Professionals as well as complying with all OAPI standards and policies relating to all job activities.… more
- Iteris, Inc. (Tampa, FL)
- …the program corridors. The position will assist with the analysis, assessment, and interpretation of data, conditions, and systems to plan and execute traffic signal ... retiming improvements. The position will also require regular coordination with public agencies and consultants. The Arterial Operations Specialist will be responsible for monitoring and responding to incidents impacting the arterial network, provide… more
- Kratos Defense & Security Solutions, Inc. (Orlando, FL)
- …engineers, discipline engineers, and software developers to resolve questions with interpretation or execution of the design throughout its lifecycle + Monitors ... the development and integration progress against the system architecture to identify inconsistencies and coordinates with the team to create effective solutions + Participates in the identification of root causes of system-level issues and develops effective… more
- Humana (Tallahassee, FL)
- …from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the appropriateness and medical necessity of ... services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD represents Humana at Administrative Law Judge hearings; exercises independent clinical judgment and decision making on complex… more
- CDM Smith (Boca Raton, FL)
- …may include field studies, research investigations, construction oversight, data interpretation and evaluation, or report preparation. * Learning project management ... techniques and the CDM Smith management system. * Managing tasks on large projects or phases of small projects. * Developing external client interaction and marketing skills. \#LI-AE1 **Job Title:** Environmental Engineer 5 (Feasibility Studies) **Group:** ESO… more