- AdventHealth (Maitland, FL)
- … claims analytics Managed Care, Patient Financial services, health insurance claims processing, contract management , or medical economics Proficiency in ... through converting raw data into meaningful applications to support executive decision making. Character traits to include: Strong work...understanding professional and facility claims and managed care concepts such as … more
- Molina Healthcare (Tampa, FL)
- …of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management , Network, and other departments to enable critical ... sources. + Knowledge of healthcare operations (utilization management , disease management , HEDIS quality measures, claims processing, etc.) + Knowledge of… more
- AIG (Miami, FL)
- …Net Worth individuals. We are reimagining how we help customers to manage risk , transforming our operating model, and reshaping our role responsibilities and career ... in setting the regional underwriting strategy and the day-to-day underwriting, and management of the LATAM Political Violence and Cyber White Label portfolio written… more
- Molina Healthcare (FL)
- …* Advanced understanding health care operations (utilization management , disease management , HEDIS quality measures, claims processing, etc.) * Advanced ... JOB DESCRIPTION Job Summary Provides executive level strategy and leadership for team responsible...tools and identify opportunities to improve performance and data management , and support, guide and influence decision-making related to… more
- AdventHealth (New Smyrna Beach, FL)
- …procedures Create or monitor all contract negotiations Assure insurance protection Coordinate risk management /limit liability claims and lawsuits Control ... compliance with overall policies. The CFO is the senior executive for Finance responsible for their designated Campus and... Risk : Understands and applies quality assurance and risk management procedures Manages to Results: Contributes… more
- ChenMed (Miami, FL)
- …by assisting in developing defense strategies, evaluating the strength of the claims , conducting risk analyses and evaluating resolution opportunities. + Assist ... legal forms and documents for legal risks and accuracy. + Advise management and executives on contractual terms, conditions, rights and obligations. + Prepare… more
- HCA Healthcare (Trinity, FL)
- …in your career. Responsibilities: .You will facilitate and direct organizational wide risk management program to ensure compliance with statutory mandates, ... primary Risk Manager, VP must have current Florida license in Healthcare Risk Management (FL LHRM)_ .CPHQ (Certified Professional in Healthcare Quality) OR… more
- AdventHealth (Orlando, FL)
- …payers. The PA role is responsible for providing physician review of utilization, claims management , and quality assurance related to inpatient care, outpatient ... the Division CFO/Sr VP, Vice President of Revenue Cycle Operations and/or Executive Director Middle Revenue Cycle/Utilization Management . Reviews data and trends… more
- Guardian Life (Tallahassee, FL)
- …business leaders. Our solutions and actions are critical to Guardian's revenue growth, risk management and customer experience. Guardian created a Data Science ... that will be market-tested and deployed to make a real difference to risk management and Guardian's overall financial performance. Successful candidates bring… more
- Evolent (Tallahassee, FL)
- …driving analysis and support for Evolent's fast growth and innovative risk -based Performance Suite business. **Collaboration Opportunities:** This person will work ... to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key… more