- CenterWell (Tallahassee, FL)
- …implementing quality improvement best practice initiatives designed to improve Medicare quality measures (HEDIS), patient safety and patient experience (CAHPS-HOS). ... assist with implementation of practice specific strategies designed to improve Medicare quality measures (HEDIS), patient safety and patient experience (CAHPS-HOS).… more
- CenterWell (Palm Coast, FL)
- …two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... coordinated care environment in a value-based relationship environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators .… more
- CenterWell (Tallahassee, FL)
- …Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing ... and many other opportunities. Application Deadline: 09-30-2025 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive,… more
- CenterWell (Tallahassee, FL)
- …complex care initiatives to drive quality and cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will ... quality and value drivers in full risk care delivery, ideally in Medicare /seniors + Demonstrated ability to work collaboratively with clinical and operational… more
- CenterWell (Jacksonville, FL)
- …two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... coordinated care environment in a value-based relationship environment . Knowledge of Medicare guidelines and coverage . Bilingual (English and Spanish) is a plus .… more
- Humana (Tallahassee, FL)
- …best practices, and design clinical solutions for members who have Medicare and Medicaid. The Lead Product Manager partners across various multi-disciplinary ... our dual members - members that qualify for both Medicare and Medicaid. The Lead Product Manager sits in...will ensure effective interaction with all organizational levels, including senior and executive level audiences + Proven ability… more
- Molina Healthcare (St. Petersburg, FL)
- …needed + Primary point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations. Coordinates and facilitates meetings ... findings + Identifies, defines and communicates opportunities for improvement to senior leadership + Strong knowledge of enrollment State, Federal, and business… more
- Molina Healthcare (St. Petersburg, FL)
- …for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare , and Marketplace lines of business. This includes direct management of ... to support efficient and compliant subrogation operations across Medicaid, Medicare , and Marketplace populations. + Collaborate with legal, claims, provider… more
- HCA Healthcare (Davie, FL)
- …you will need:** + Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal ( Medicare ) and Local ... future of nursing." Sammie Mosier, DHA, MA, BSN, NE-BC Senior Vice President and Chief Nursing Executive, HCA Healthcare...quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of… more
- CenterWell (Daytona Beach, FL)
- …budgeting, staffing, operational excellence, and clinical initiatives *Champion our senior -focused primary care strategic vision and initiatives and foster ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals *Personally… more