• Director of Client Success, Payer…

    Datavant (Tallahassee, FL)
    …strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a ... experiences to realize our bold vision for healthcare. The Director of Client Success will report to the VP...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
    Datavant (07/18/25)
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  • Manager, Risk Adjustment Analytics

    Datavant (Tallahassee, FL)
    …healthcare actuarial or medical economics departments with a focus on risk adjustment valuation and modeling + Experience creating and communicating ... vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping...manager will collaborate with other managers and the department director to set strategy and mobilize the team to… more
    Datavant (06/12/25)
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  • Associate Medical Director

    CenterWell (Jacksonville, FL)
    …market performance (clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational ... community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical...coaching initiatives are precise + Identify critical issues for high- risk patients during case reviews & other forums, and… more
    CenterWell (07/22/25)
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  • Associate Medical Director

    CenterWell (Daytona Beach, FL)
    …market performance (clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational ... us put health first** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical...and coaching initiatives are precise *Identify critical issues for high- risk patients during case reviews & other forums, and… more
    CenterWell (06/12/25)
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  • Medical Director (CT)

    Molina Healthcare (St. Petersburg, FL)
    …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare,… more
    Molina Healthcare (07/11/25)
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  • Medical Director - Dsnp/MMP

    CVS Health (Tallahassee, FL)
    …treatment protocols for DSNP/MMP and other complex health populations to optimize risk adjustment , clinical quality, and care management. * Actively participate ... resistant illnesses through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management, clinical… more
    CVS Health (07/18/25)
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  • IPA Coding Associate Director

    CenterWell (Tallahassee, FL)
    …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
    CenterWell (07/24/25)
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  • Director of Market Planning, Government…

    RELX INC (Boca Raton, FL)
    Director of Market Planning: Digital Identity (IDV, Document Authentication, and Biometric) Are you a subject matter expert in Digital Identity Solutions? Are you a ... enjoy tracking and shaping policy? About the Business LexisNexis Risk Solutions is the essential partner in the assessment...our Team This role reports directly to the Sr. Director of Transformational Markets. About the Role This position… more
    RELX INC (07/10/25)
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  • Director , Data & AI Architecture

    NASCO (Tallahassee, FL)
    …deployment of AI/ML (Machine Learning) and agentic models for payer analytics, risk adjustment , fraud detection, and personalized member engagement + ... **Overview** Under general direction, the Director of Data and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance… more
    NASCO (07/24/25)
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  • Lead Director , Medicare Actuarial…

    CVS Health (Tallahassee, FL)
    …regulatory compliance. + Serve as a subject matter expert on CMS regulations, risk adjustment , and revenue optimization. + Collaborate with internal stakeholders ... CMS Part C/D operations. + 5+ years' experience working with CMS regulations, risk adjustment methodologies, and revenue management. + 5+ years' experience… more
    CVS Health (07/01/25)
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