- Molina Healthcare (Orlando, FL)
- …operation process designs and establishes procedures and techniques for operational standards. Confers with customers to define and resolve. ... **Knowledge/Skills/Abilities** Responsible for the oversight of regulatory compliance of Corporate Operations functions, including but not limited to performance of… more
- Molina Healthcare (St. Petersburg, FL)
- …and regulations, contract provisions, and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
- Molina Healthcare (Orlando, FL)
- …**Job Duties** + Enable market P&L success through support and oversight for assigned markets, including D-SNP market performance management. + Function ... as Medicare subject matter expert and point of contact for...drive compliance and performance objectives as well as provide oversight , including service level agreements. + Works with staff… more
- CVS Health (Tallahassee, FL)
- …heart, each and every day. **Position Summary** Drive growth for Medicare Advantage External Distribution Partnerships by setting strategic sales goals, crafting ... achieve measurable results. Act as Chief of Staff to the Executive Director of National External Distribution, ensuring alignment and execution of strategic… more
- Molina Healthcare (Tampa, FL)
- …on increased responsibility and adding value to the organization + Ensures strong operational processes are in place to deliver across all areas of responsibility + ... Provides oversight analyses of demographic data to support accurate Network Adequacy Reporting and Directory development. + Manage multiple resources and projects… more
- CenterWell (Tallahassee, FL)
- …improvement. + Work collaboratively with the Strategy Advancement and Operations Director to align clinical and operational priorities. **Quality Improvement ... and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical...skills; ability to collaborate effectively with clinicians, executives, and operational leaders. + Advanced knowledge of Medicare … more
- Prime Therapeutics (Tallahassee, FL)
- …passion and drives every decision we make. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account Director is ... As the primary point of contact for their designated BCBS clients, the director promotes and recommends Prime standard offerings to meet client requirements and… more
- Molina Healthcare (FL)
- …to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight , monitoring ... and implements process improvements to achieve member/provider satisfaction or operational effectiveness/efficiencies which contribute to Molina Medicare 's… more
- Aveanna Healthcare (West Palm Beach, FL)
- Facility Director (RN) - Pediatric Medical Day Care Center ApplyRefer a FriendBack Job Details Requisition #: 203453 Location: West Palm Beach, FL 33411 Category: ... Nursing Salary: $75,000.00 - $85,000.00 per year Position Details Pediatric Location Director - RN (Registered Nurse) Work Location:2005 Vista Parkway, Suite 110A,… more
- Baylor Scott & White Health (Tallahassee, FL)
- …, Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor ... Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled...function for BSWH. + Recommends and implements strategic and operational plans and priorities for clinical denial management aligned… more
- Option Care Health (Tampa, FL)
- …Manager is responsible for assisting the Director of Operations and/or Area Director of Nursing in meeting operational and financial goals for the location. ... importance) + Directs the activities of the nursing department. Oversight of the nursing team to ensure scheduling and...in the process for assessing, managing, and reporting nursing operational and financial data to the Area Director… more
- Molina Healthcare (Jacksonville, FL)
- …Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of processes that track, evaluate, and submit encounter deletions ... for Medicare Advantage, ACA, and Medicaid lines of business. This...accuracy & completeness (ie, Encounter Production, Audit, Production Vendor Oversight ) for assigned lines of business. Responsible for increasing… more
- Sarasota County Government (Sarasota, FL)
- …you will manage partnerships related to billing, procurement, contracts, and financial oversight in coordination with the Office of Financial Management. Make a ... patient care documentation, and regulatory compliance. This role manages operational and administrative responsibilities, including data analysis, program development,… more
- University of Miami (Miami, FL)
- …+ Performs other duties as assigned by the Chief and/or clinic Medical Director + Experience with Medicare Advantage (65+) patient population preferred + ... and/or physician delegate, the Supervisor will be responsible for oversight of healthcare delivery provided by General Internal Medicine...Completion of Medicare annual wellness exam documentation preferred + Knowledge of… more