- Highmark Health (Tallahassee, FL)
- …may have budgetary responsibility and authority. + Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking ownership of the ... end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver... strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives… more
- Datavant (Tallahassee, FL)
- …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the ... in the key underlying healthcare data sources that support risk adjustment measurement and analysis. + **Analytical & Strategic :** Able to connect… more
- Molina Healthcare (FL)
- …SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...engine activity, risk adjustment targeting and reporting systems *… more
- The ODP Corporation (Boca Raton, FL)
- **Overview** The Manager , Strategic Sourcing - IT (Indirect) is responsible for developing and executing IT procurement strategies across hardware, software, ... business stakeholders to align procurement with technology roadmaps, manages vendor risk and performance, and oversees the full contract lifecycle-including SaaS… more
- The ODP Corporation (Boca Raton, FL)
- **Overview** The Manager , Strategic Sourcing - Corporate Functions (Indirect) is responsible for developing and executing strategies to source Human Resources ... minimum of three days per week.** **Primary Responsibilities:** + Oversee Strategic Sourcing and Category Management for Human Resources (HR), Professional Services,… more
- RELX INC (Boca Raton, FL)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the job: The Key Account Manager will be responsible for ... About the Business: LexisNexis Risk Solutions is the essential partner in the...a business-to-business environment. + Strong understanding and use of Strategic Selling techniques and CRM systems. + Exceptional communication,… more
- Actalent (Jacksonville, FL)
- Actalent Services is hiring a Senior Financial Operations Manager for a permanent financial operations leadership role serving as an internal Financial Controller ... to our tenured Director of Financial Operations, the Sr. Financial Operations Manager will be responsible for executing Actalent's strategy to expand its portfolio… more
- Bristol Myers Squibb (Tampa, FL)
- …innovative bio-pharma companies, and make a difference. **Position Summary** The District Business Manager is a critical role in our unique customer model to execute ... Access organizations, for example Scientific Engagement Partner (SEP), and Field Access Manager (FAM) and other field roles in the new Commercialization model to… more
- Bristol Myers Squibb (Pensacola, FL)
- …of independence and love of challenge. **Position Summary** The Senior District Business Manager is a critical role in our unique customer model to execute the ... adoption of capabilities and new ways of working. + **Execute strategic planning activities (eg, promo program planning, budget planning, and prioritization… more
- CenterWell (Tallahassee, FL)
- …first** The Market Partnership and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy and targeted initiatives aimed at ... clinical efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement… more
- CenterWell (Daytona Beach, FL)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... demands a unique blend of clinical management, financial/business acumen, and strategic partnership to optimize patient care and business outcomes. KEY… more
- CenterWell (Jacksonville, FL)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... demands a unique blend of clinical management, financial/business acumen, and strategic partnership to optimize patient care and business outcomes. **KEY… more
- CenterWell (Tallahassee, FL)
- …in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment , and clinical programming in primary care, complex ... to strengthen a patient-centered culture that is clinically led + Strategic problem-solver with examples of driving change initiatives with measurable impact… more
- ChenMed (Miami, FL)
- …support to markets; creates and distributes reports; responds to inquiries. + Runs CMS risk adjustment model to calculate member level risk scores. + ... Analyst - Service Fund is responsible for managing and tracking the risk positions underlying the financial service funds and payer settlements within ChenMed… more
- Amazon (Orlando, FL)
- …committed to the safety and wellbeing of our people. WHS sets the strategic direction to provide resources, best practices, and safe environments to proactively ... position, you will work closely with the WHS Site Manager , WHS Specialist, and occasionally the Injury Prevention Specialist...medical providers as needed, and learn about OSHA regulations, risk , and analysis. The OMR will function as a… more
- RTX Corporation (Largo, FL)
- …entire project + You will apply integrated project management, earned value, and risk management techniques + You will coordinate inputs from various hardware / ... documentation + You will serve as the Cost Account Manager (CAM) for multiple projects. Track, report, and analyze...understand program performance and to recommend staffing and/or schedule adjustment based on these metrics + You will understand… more
- Travelers Insurance Company (Tallahassee, FL)
- …for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators and other experts. ... + Effectively and efficiently manage both allocated and unallocated loss adjustment expenses + Evaluate all claims for recovery potential; directly handle… more
- Travelers Insurance Company (Tallahassee, FL)
- …for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants, the Travelers Lab, Claim Legal, and fire or ... + Effectively and efficiently manage both allocated and unallocated loss adjustment expenses + Evaluate all claims for recovery potential; directly handle… more