- BayCare Health System (New Port Richey, FL)
- …philosophy that's built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. **Title:** Risk Manager - Clinical ... 8:00AM - 5:00PM **Weekend Work:** Occasional **Equal Opportunity Employer Veterans/Disabled** **Position** Risk Manager - Clinical Risk Management… more
- Molina Healthcare (Tampa, FL)
- …Project management includes estimating, scheduling, costing, planning and issue/ risk management. **KNOWLEDGE/SKILLS/ABILITIES** + Manage project scope, schedule, and ... Health Insurance Operations; particularly Utilization Management, Care Management, and Clinical Operations + Ability to work occasional late nights, weekends,… more
- Deloitte (Tampa, FL)
- …certification a plus (CRC, CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse, physician, physician assistant, case manager , clinical ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted … more
- CenterWell (Tampa, FL)
- **Become a part of our caring community and help us put health first** The Manager Care/Case Management in **Tampa area (** **_this is not a remote position_** **)** ... health workers, and behavioral health resources who engage high risk /high needs patients using a team-based approach to ensure...and services they need to reach optimal health. The Manager is also responsible for building strong partnerships with… more
- Elevance Health (Tampa, FL)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Virtual:** This role enables associates to work virtually full-time, with the ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues and/or… more
- AdventHealth (Tampa, FL)
- …work life balance **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance with ... the development of a discharge plan of care for high- risk patient populations. This role will receive referrals for...members of the care team). The Social Work Care Manager , in collaboration with the patient/family, care manager… more
- Bristol Myers Squibb (Tampa, FL)
- …work and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Manager , Project Contracts Manager will be the primary and embedded ... methodology by which appropriate scope awards (for example, Construction Manager (and Subcontractors), Architect Engineer, Project Controls, C&Q) maximizing value… more
- Catalent Pharma Solutions (Tampa, FL)
- …and reflect those in customer business negotiations, analyzing and mitigating risk , maintaining accurate records. The ** Manager , Contract Management** is ... ** Manager , Contract Management** **Position Summary:** Catalent, Inc. is...achieve timely deal closure and growth expectations + Mitigates risk through understanding of proposed terms and conditions and… more
- Elevance Health (Tampa, FL)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Molina Healthcare (Tampa, FL)
- …may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span people, ... post-go‑live; steward change management (training, SOPs, job aids, communications). + Risk , Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations,… more
- ZOLL Medical Corporation (Tampa, FL)
- …to protect more than 1M patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia-management-system/) ... that makes ZOLL the ideal place to build your career.Job SummaryAssociate Territory Manager (ATM) is a field-based role that encompasses both sales and sales support… more
- Battelle Memorial Institute (Tampa, FL)
- …and Analytics (HRA) business line is seeking a highly motivated, full-time **Nurse Case Manager ** to join our team in support of our government customer, US Special ... ensuring comprehensive support for those who serve. As a Nurse Case Manager , you will contribute to impactful research and analytics that drive evidence-based… more
- Sedgwick (Tampa, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager will cover our Tampa ... have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE OF THE ROLE:**...are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in… more
- Molina Healthcare (Tampa, FL)
- **Job Summary** The Manager , Medical Economics provides support and consultation to the New York Health Plan and Finance team through analyzing key business issues ... trends or other issues related to medical care costs. + Work with clinical , provider network and other personnel to bring supplemental context/insight to data… more
- Bristol Myers Squibb (Tampa, FL)
- …personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Senior Manager in Business Solutions & Reporting for Payroll is a critical ... as a key escalation point for technical and compliance issues. The Senior Manager will bridge payroll outputs with finance and accounting, support audit and… more
- Catalent Pharma Solutions (Tampa, FL)
- **Senior Manager , Business Assurance** **Position Summary:** **This is a full-time salaried position, based onsite out of our Tampa, FL or Bridgewater, NJ ... location.** Catalent is seeking a dynamic and experienced **Senior Manager , Business Assurance** to join our Global Business Assurance team. This high-impact role is… more
- BayCare Health System (Clearwater, FL)
- …philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence. BayCare is currently in search of our newest Site ... Manager II who is passionate about providing outstanding customer...aspects of the facility. + Ensures HIPAA compliance and Risk Management at the facility level. + Oversees maintenance… more
- Elevance Health (Tampa, FL)
- **Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- Elevance Health (Tampa, FL)
- …+ Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high- ... risk complications, addresses gaps in care) and coordinates those...(serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to… more
- Bristol Myers Squibb (Tampa, FL)
- …stakeholders** + Perform appropriate due diligence by issue spotting and assessing risk mitigating options this includes contract analysis to identify key legal ... activities within scope. **Partner directly with adjacent stakeholders and deliver on complex, high- risk issues or projects** + Act as a trusted advisor to GPS… more