- CenterWell (Middleburg, FL)
- …in accordance with standards of care. . Follows level of medical care and quality for patients and monitors care using available data and chart reviews. . Assists ... Completes all medical record documentation in a timely manner working with a quality - based coder to optimize coding specificity. . Follows policy and protocol… more
- CenterWell (Pinellas Park, FL)
- …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating multiple centers across ... environment. We are a value-based care provider focused on quality of care for the patients we serve. Our...insurance and many other opportunities. **About Us** About Conviva Senior Primary Care: Conviva Senior Primary Care… more
- CenterWell (Tallahassee, FL)
- …service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include national clinical ... and authorship. Exercises independence in meeting departmental expectations and meets compliance timelines. **Required Qualifications** + MD or DO degree. + 5+… more
- CenterWell (Plantation, FL)
- …and help us put health first** The Nephrologist will work within CenterWell Senior Primary Care's value-based care (VBC) model to transform how kidney care is ... to thrive in an evolving care model + Data-driven decision-maker who embraces quality metric **What we're looking for** + A Physician board certified in Nephrology.… more
- AdventHealth (Maitland, FL)
- …management professional who supports the Director of System Care Management and/or Senior Manager Operations Optimization - Care Management in development and ... successful. Exhibits critical-thinking skills, creativity, and manages resources to achieve quality performance, positive employee relations and compliance with… more
- Deloitte (Tampa, FL)
- …case manager , clinical documentation specialist, utilization review, informatics RN, Quality , DRG Validation and health IT preferred + Knowledge of Medicare ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and… more
- Educational Testing Service (Tallahassee, FL)
- …systems and capabilities for a major program or program(s) with guidance from a senior manager . The Assessment Process Specialist III may serve as a corporate ... and scoring materials developed are fair and valid, in compliance with ETS Standards for Quality and...and attending meetings as + requested, under direction of senior manager . + Lead regular internal meetings… more
- Humana (Tallahassee, FL)
- …Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues ... (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part...EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat… more
- CenterWell (Tallahassee, FL)
- …to ensure smooth integration of newly acquired acquisitions. **Productivity and Quality Management:** + Establish Key Performance Indicators (KPIs) for coding ... team and leaders to address post-visit review coding KPIs ( quality , Turn-Around-TAT, appropriate clinician queries). + Participate in payor meetings/discussions… more
- Humana (Tallahassee, FL)
- …(eg, Certified Information Privacy Professional (CIPP/US), Certified Information Privacy Manager (CIPM), or Certified in Healthcare Compliance (CHC)) ... put health first** The Privacy & Ethics Lead monitors compliance in accordance with government regulations relating to the...verbal and written communication skills + Comfort interacting with senior leaders + In-depth knowledge of privacy laws and… more