- 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
- 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 (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
- Molina Healthcare (Orlando, 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
- 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
- Bristol Myers Squibb (Tampa, FL)
- …in their personal lives. Read more: careers.bms.com/working-with-us . The Associate Director , Global Supplier Human Rights, is responsible for implementing the ... Due Diligence Program for the Procurement organization. This Associate Director will help create key program components and be...but are not limited to: Global Supplier Human Rights Risk Assessment, Human Rights Risk Mitigation through… more
- 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
- 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
- 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
- AdventHealth (Altamonte Springs, FL)
- …under the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; ... discharge planning, transitions of care planning and understanding of medical necessity are core competencies of this role. The...of health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of… more