- Evolent (Tallahassee, FL)
- …**Role Overview** **s** **:** The **VP,** **Growth** **-** **Pay** **e** **r** will lead strategic partnerships with health plans. + Develop and execute a growth ... maintain relationships with health plan executives to drive new business. + Lead contract negotiations and partnership agreements. + Collaborate with internal teams… more
- Intermountain Health (Tallahassee, FL)
- …provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all ... of hospital coding. The coordinator works with providers and clinical staff to make critical coding decisions based on...that coded data accurately reflects the severity of illness, risk of mortality, and quality of care + Performs… more
- AdventHealth (Orlando, FL)
- …Values in all aspects of APP Leadership, Clinical Practice and Education. ** Clinical Oversight:** + Collaborate with Quality, Risk and Compliance to monitor ... privileging, and scope of practice alignment across regions. **Workforce & Operational Management :** + Lead recruitment, retention, and onboarding strategies. +… more
- Elevance Health (FL)
- …preferred. + Expertise in legal and regulatory issues affecting utilization management activities, including prior authorization, medical necessity, clinical ... level projects with broad department and/or organizational impact and moderate level of risk . Works as a strategic partner and decision maker with more senior… more
- Prime Therapeutics (Tallahassee, FL)
- …federal and state regulatory inquiries + Develop and implement litigation and risk management strategies that align with Prime's business objectives, mitigate ... member of the legal department's leadership team. **Responsibilities** + Lead and mentor a team of attorneys and support... risk and protect the company's brand and business +… more
- Elevance Health (Port St. Lucie, FL)
- …those member's cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to provide care ... integrated care plan, engaging the member's circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as… more
- Banfield Pet Hospital (Jacksonville, FL)
- …The primary purpose and function of the Area Chief of Staff is to lead , develop and manage associate veterinarians in their hospitals to ensure Banfield can attract, ... required by federal, state, or local law. Responsible for the ownership and management of the controlled substance inventory for relief doctors. + Own doctor… more
- Select Medical (Miami, FL)
- …Recovery Hospital (LTACH)** **Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work ... right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management and financial management… more
- Sunrise Senior Living (Coral Gables, FL)
- …of all Sunrise policies and programs related to resident care, quality, safety, and risk management . **Financial Management ** + Explains and discusses the ... Care Coordinator (RCC) is responsible for providing overall leadership and management of the Assisted Living, Terrace Club and/or Reminiscence Neighborhoods to… more
- Sedgwick (Orlando, FL)
- …determinations to approve non-complex ADA claims or makes a recommendation to team lead to deny claims based on the ADA, state, and/or client requirements. Processes ... initial employee interview per process guidelines. + Utilizes the appropriate clinical and vocational resources in case assessment (ie duration guidelines, in-house… more