- Molina Healthcare (St. Petersburg, FL)
- …design solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience, Enrollment, and Claims ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing...combination of education and experience **Required Experience** 7-9 years Provider Data **Preferred Education** Graduate Degree or… more
- Molina Healthcare (St. Petersburg, FL)
- … Information process functions. * Directs the development, implementation and maintenance of provider data in the claims payment system. * Supports critical ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Molina Healthcare (St. Petersburg, FL)
- …optimization, and service delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations… more
- Molina Healthcare (St. Petersburg, FL)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management /Network Adequacy. **Knowledge/Skills/Abilities** + ... work with other teams including New Markets team, Network Management , Product Teams, PDM and IT. **Job Qualifications** **REQUIRED...EXPERIENCE:** + Advanced Excel skills. + Power BI. + Provider Data Analytics. To all current Molina… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... and data completeness training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data , and chart collection… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …mitigate operational and compliance risks. **Skill in** + Applying QA/QC tools, case management systems, and data analytics platforms to work processes. + ... The Director of Quality Assurance & Control covering Anti-Money...& Control covering Anti-Money Laundering (AML) & Financial Crimes Management (FCM) is responsible for leading a team of… more
- Molina Healthcare (St. Petersburg, FL)
- …or Contact Center technology leadership. + 5+ years in a senior management or director -level role overseeing **large-scale, cloud-based UCaaS/CCaaS environments ... **Job Description** **Job Summary** The Director of IT (Telecom) provides strategic and operational...and simplify secure access across channels. + Collaborate with data and analytics teams to leverage AI-driven insights for… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …fund manager interactions. Upon completion of review, it is expected that that Director provide a supported recommendation within written reports based on ... **Job Summary:** Under very limited supervision, the Director of Alternative Investment Operational Due Diligence utilizes...information from professional publications * Meet many deadlines to provide quarterly and monthly data to internal… more
- HCA Healthcare (Bradenton, FL)
- …Director of Medical Staff Services. As our new Director , you will provide direction and management of the medical services office (MSO) activities. You ... an accredited college or university .Current Certified Professional Medical Staff Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS)… more
- Lake Erie College of Osteopathic Medicine (Bradenton, FL)
- Assistant Director of Network Operations Overview Date Posted: 10/24/2025 Location: Bradenton Address: 5000 Lakewood Ranch Blvd. City: Bradenton State: FL Country: ... Information Technology Employment Status: Full-time Description JOB SUMMARY : The Assistant Director of Network Operations reports to the Director of Network… more
- City of Treasure Island (Treasure Island, FL)
- …and their compliance with applicable ordinances and regulations. + Compile all financial data necessary to provide an accurate annual operating and capital ... plans and projects. + In conjunction with the Economic Development Director , provide information and assistance concerning development regulations and… more
- Molina Healthcare (St. Petersburg, FL)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (St. Petersburg, FL)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (St. Petersburg, FL)
- …of value-based care models, provider enablement strategies, and population health management . + Strong knowledge of data integration, EMR systems, and ... programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs,… more
- Molina Healthcare (St. Petersburg, FL)
- …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... Assists in recruitment, hiring and training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts… more
- Molina Healthcare (St. Petersburg, FL)
- …and problem-solving capabilities. + **Preferred Experience** 10 years + of IT Data Center Operations, Project Management , Disaster Recovery, Business Continuity ... **Job Description** **Job Summary** The Director of Disaster Recovery (DR) will oversee and...the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for… more
- Zelis (St. Petersburg, FL)
- …and the personal interests that shape who you are. Position Overview The Director , Product Management is responsible for leading the product management ... products. + Stay updated on industry trends, emerging technologies, and product management methodologies. + Review product performance data using key performance… more
- Arrow Electronics (St. Petersburg, FL)
- **Position:** Sales Strategy Director - Tanzu Line of Business **Job Description:** We are seeking a dynamic and strategic Sales Strategy Program Director to ... markets (EMEA, NA) by collaborating with cross-functional teams, including program management , pricing, marketing, and product management . The ideal candidate… more
- HealthTrust Workforce Solutions (St. Petersburg, FL)
- …statistical background required. + Ability to perform computerized analyses and use data management , word processing, and presentation software as required. + ... access to more than 200,000 jobs nationwide. **_JOB SUMMARY_** The Interim Manager/ Director of Quality Management and Infection Prevention manages the facility… more
- Publicis Groupe (St. Petersburg, FL)
- **Overview** **How You'll Make an Impact** The Senior Director , Delivery Operations is a critical leader within Epsilon's retail media organization, responsible for ... planning for the team + Interviews, hires, and trains management -level staff in the department. + Oversees the daily...We'll Create Something EPIC Together** Epsilon is a global data , technology and services company that powers the marketing… more