- Centene Corporation (Spring Hill, FL)
- …record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS. + Under ... general guidance form Senior Quality Practice Advisors and management, educates community physician...NCQA requirements. + Collects, summarizes and trends provider performance data to identify and strategize opportunities for provider improvement.… more
- RTX Corporation (Largo, FL)
- … + Define and document systems requirements, ensuring alignment with program needs and objectives. + Collaborate with cross-functional teams, including software ... design, cyber engineers, network engineers, infrastructure engineers, program management, quality, manufacturing and operations. + Facilitate requirements workshops… more
- Public Consulting Group (Tallahassee, FL)
- …will develop and grow established, high-performing functional teams in the areas of program management; client engagement and support; data science; and business ... to succeed. Services: + Teaching + Learning Solutions + Data Systems + IT Solutions + Financial Solutions +...resource leveling for all operations in support of contract compliance and profitability, in coordination with program … more
- MyFlorida (Tallahassee, FL)
- …holidays and one paid Personal Holiday each year; + State Employee Tuition Waiver Program - Six credit hours per semester with the state college/university system; + ... Employee Assistance Program (EAP); + Deferred Compensation Plan; + Tax Beneficial...technical reviews in all industries, and may include financial, compliance , management, and operational analyses. The APA analysts conduct… more
- Citigroup (Tampa, FL)
- …Excellent communication skills required to negotiate internally, often at a senior level. Developed communication and diplomacy skills are required to guide, ... across key partners to document a cohesive product construct roadmap and program plan inclusive of right placement activities, enhancements, and new product… more
- ChenMed (Miami, FL)
- …one or multiple RCM functions (ie Business Applications, Business Analysis, program compliance , strategic initiatives, etc.), employing inspection and ... and we need great people to join our team. The Principal RCM Quality Program Manager performs an advanced level of governance, management and facilitation of an RCM… more
- SitusAMC (Miami Beach, FL)
- …be eligible to receive a discretionary bonus as determined by bonus program guidelines, position eligibility and SitusAMC Senior Management approval. SitusAMC ... objective in-depth analysis of credit quality to present a financing request to senior management, loan approval committee and credit risk for approval + Use credit… more
- CVS Health (Tallahassee, FL)
- …Good with data interpretation. * Effectively communicate these finding to Senior Management and staff at all levels. * Develop and deliver conference ... Member Outreach, Care Management, National Quality Management, Utilization Management, Compliance , and other departments to integrate social, behavioral, and… more
- TEKsystems (Orlando, FL)
- …with a customer-first mindset for bold business leaders. We deliver cloud, data and customer experience solutions. Our partnerships with leading cloud, design and ... according to schedule, and within budget. Additionally, ensuring that internal compliance requirements are fulfilled. Provides strategic value to clients and… more
- BMO Financial Group (West Palm Beach, FL)
- …provided and assesses clients at-risk for retention. + Makes recommendations to senior leaders on strategy and new initiatives, based on an in-depth understanding ... when the full relationship exists. + Breaks down strategic problems, and analyses data and information to provide insights and recommendations. + Monitors and tracks… more