- Molina Healthcare (Tampa, FL)
- …Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case ... the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines appropriateness… more
- Northrop Grumman (Melbourne, FL)
- …to drive quality , efficiency and continuous improvement. **Subcontract Specialist (Level 2 )** **Basic Qualifications:** + Must have Bachelors with 2 years ... and collaborates with key stakeholders such as contracts, engineering, quality , supplier development, planning, operations, program and end-users. Develops… more
- Humana (Tallahassee, FL)
- …state Medicaid hospital reimbursement methodologies that utilize MS-DRG, APR-DRG, APC or EAPG + 2 + years of experience with Optum Rate Manager + 2 + ... for hospitals and facilities. They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams… more
- ChenMed (Miami, FL)
- …using between 18-21 appointment slots per day (each new patient count for 2 slots, follow-up patients 1 slot), CGCAHPS (patient experience), clinical gaps closures, ... to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required that promote… more
- ChenMed (Orlando, FL)
- …written progress notes and summaries according to ChenMed standards for quality , service, productivity and teamwork. He/She also participates in clinical rounds ... ChenMed, we remain committed to: 1. Physician Work/life balance 2 . No nights/ no weekends / no call 3....Population health approach focused on Prevention, Patient Outcomes and Quality of Care: a. Simplifying complex care through collaboration… more
- Datavant (Tallahassee, FL)
- …management skills + Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of ... for supporting the Coding Supervisors in monitoring coders in quality and efficiency, serving as a resource and facilitator...CIC, CRC) + Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team… more
- MyFlorida (Orlando, FL)
- …hired for this position. GOVERNMENT OPERATIONS CONSULTANT II - 60019554 - OPBI QUALITY MANAGEMENT THIS IS NOT A TELEWORK POSITION. The selected candidate will ... WILL BE GIVEN TO CANDIDATES WITH: + Minimum of 2 years (24 months) of experience reading/reviewing cases in...years (24 months) of experience reading/reviewing cases in the Quality Control System or Quality Management System… more
- MyFlorida (Tallahassee, FL)
- …$75,000-$95,000 "Employment is contingent upon successful completion of a level 2 background screening pursuant to Chapter 435, Florida Statutes." FLORIDA DEPARTMENT ... and Maximum Access + Skilled Workforce and Economic Development + Quality Services Florida Department of Education (https://www.fldoe.org/) (Link to office page… more
- Amentum (Kennedy Space Center, FL)
- …Centered Maintenance (RCM) program and plan in accordance with NPR 8831. 2 , Facilities Maintenance and Operations Management, NID 8831.124, Use of Condition ... Based Maintenance and Maintenance Manager Training and industry standard requirements. + Develop and...5 years in RCM Knowledge of industry standard computer software for the position (ie CADD, AutoCAD, MicroStation, SKM,… more
- Molina Healthcare (Jacksonville, FL)
- …Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case ... programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Provides… more