- Veterans Affairs, Veterans Health Administration (Vero Beach, FL)
- …closely with allied health professionals; and participates in the Surgical Department Quality Assurance and Peer Review programs. Work Schedule: Monday-Friday, ... those who want to contribute to the achievement of quality care standards, growth and development of the VA,...VHA Education Loan Repayment Services program office after complete review of the EDRP application. EDRP Authorized: Former EDRP… more
- The Hertz Corporation (Tallahassee, FL)
- …progress against each individual incident can be updated as required + Write and review high quality technical documentation CONTROL & AUDIT + Ensures their ... developing, and implementing of solutions in support of data quality and automation. They will need to understand the...services and perform root cause analysis. + Facilitate the review , vetting of these designs with the architecture governance… more
- Cognizant (Tallahassee, FL)
- …and regulations + Experience in the analysis and processing of claims, utilization review / quality assurance procedures + Must be able to work with minimal ... supervision. + Creative thinker with good problem-solving skills specifically related to healthcare claim adjudication + Possess the ability to work at a computer for extended periods. + Must have basic Microsoft Excel skills **Salary and Other Compensation**… more
- Aspen Dental (Inverness, FL)
- …options provided by clinical team, verifying insurance payment and collection ensuring high quality of care + Review monthly business results, manage profit and ... loss, align sales plan to support business goals and create strategies to increase profitability + Prepare and lead daily huddles with team to level set expectations to optimize patient experience and business performance + Additional tasks as required… more
- Cognizant (Tallahassee, FL)
- …* Experience in the analysis and processing of claims for payments, utilization review / quality assurance procedures. * Must be able to work with minimal ... supervision. * Good skills at problem resolution specifically related to healthcare claim adjudication. * Possess ability to work at a computer for extended periods. * Can work closely with other departments **Required Education and Experience** . High School… more
- MyFlorida (Bunnell, FL)
- …job-related duties as delegated by the nursing supervisor. Participates in record review for quality assurance. Assists with outreach clinics for immunizations, ... ordering and tracking of vaccines. Sets up and takes down clinic, maintains quality assurance checks on clinic equipment. Manages Vaccine Inventory according to CDC… more
- Humana (Tallahassee, FL)
- …need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, ... and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital… more
- Molina Healthcare (Jacksonville, FL)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from… more
- Molina Healthcare (FL)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests… more
- BrightView (Kendall, FL)
- …met or exceeded + Coordinate consistent and timely site visits with Operations Manager to review site quality and to ensure that client expectations are met + ... way through ancillary sales and price increases, and ensures quality service. You'd be responsible for: + Identify and..."site walkthroughs" during formal meetings with customers to ensure quality and service expectations are met + Lead and… more