• Quality Assurance Specialist

    AssistRx (Orlando, FL)
    …sessions ensuring associates understand how the program enhancement will impact the quality review /score. + Monitoring program AE's and present findings to ... including call handing to ensure program KPIs and established quality guidelines are met. + Auditing case ...score reports by associate, team and/or program for management review on a weekly and monthly basis. + Identify… more
    AssistRx (08/12/25)
    - Related Jobs

  • Chief Medical Officer

    HCA Healthcare (Port St. Lucie, FL)
    …environment of quality and cost improvement and develops systems to review utilization of resources and objectively measure outcomes of care in the inpatient ... Offers clinical support for appeals and denials process, discharge planning, case management, and utilization review /management. + Consults with facility-level… more
    HCA Healthcare (08/26/25)
    - Related Jobs

  • Discovery Project Manager

    Dentons US LLP (Miami, FL)
    …+ Implement and assist in the development of departmental and matter-specific quality control procedures. + Stay current on e-discovery and litigation ... LLP is currently recruiting for a Discovery Project Manager to support our Case Teams, nationally. The Discovery Project Manager will act primarily as a consultant… more
    Dentons US LLP (08/07/25)
    - Related Jobs

  • Senior Risk & Compliance Analyst

    Highmark Health (Tallahassee, FL)
    …in decision-making, identifying non-compliance issues, and developing and implementing quality control procedures. The Analyst also administers inter-rater ... policy adherence, consistency of decision making + Develop and implement quality control procedures and protocols Inter-rater reliability test administration… more
    Highmark Health (07/04/25)
    - Related Jobs

  • Client Coding Project Manager - Full Time - Remote

    Datavant (Tallahassee, FL)
    …realize our bold vision for healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The ... closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. **You will:** + Maintain a quality … more
    Datavant (07/26/25)
    - Related Jobs

  • Human Resource Service Center Specialist - Remote

    Option Care Health (Tallahassee, FL)
    …and resolution of tier 1 myHRconnect questions submitted through our HCM case management system across all HR functional areas including questions regarding system ... creation of HR Article content with the goal of case deflection. The Specialist must have a general understanding...training management processes. + Conduct tier 1 troubleshooting and review of team member records in HCM system to… more
    Option Care Health (09/04/25)
    - Related Jobs

  • Claims Manager

    CHS (Clearwater, FL)
    …Establishing and monitoring strong operational controls relating to claims cost control , including review processes for potential pre-existing conditions, ... our service level agreements. You'll manage relationships with vendors, spearhead quality improvements, and foster a culture of transparency and member-focused… more
    CHS (08/08/25)
    - Related Jobs

  • Operations & Mgmt Consultant Mgr - SES

    MyFlorida (Tallahassee, FL)
    …Tool (https://compcalculator.myflorida.com/) Florida Department of Health Division of Disease Control and Health Protection Bureau of Epidemiology Open Competitive ... county health department staff regarding healthcare-associated infections and infection control protocols. Collaborate with other programs as appropriate within the… more
    MyFlorida (09/03/25)
    - Related Jobs

  • Cytogenetic Technologist II

    BayCare Health System (Tampa, FL)
    …Cytogenetic Technologist I staff to ensure standards are met + Maintain quality control records **Qualifications** **Certification & Licensure** + **Required:** ... **Highly Preferred:** Proficiency in **chromosome identification** , FISH analysis, ISCN, and case review **Total Rewards & Benefits** BayCare offers a… more
    BayCare Health System (09/06/25)
    - Related Jobs

  • Legal Support Analyst 1 (Entry Level Legal…

    CACI International (Miami, FL)
    …imaging, and hardware systems. Desired: -Automated litigation support experience -Ability to perform quality control analysis and report any issues with data -- ... moderately complex litigation support tasks, including, for example, detailed review and analysis of case materials in...the flexibility at CACI that allows them to balance quality work and their personal lives. We offer competitive… more
    CACI International (06/28/25)
    - Related Jobs