- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** The Lead Risk and Quality Performance Manager supports Molina's Risk & Quality Solutions (RQS) team by overseeing large ... * Mastery of Microsoft Office Suite including Excel and Project * Significant healthcare experience and excellent risk adjustment and/or quality knowledge *… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... running queries in Microsoft Azure or SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge * Mastery of Microsoft Office… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's ... * Mastery of Microsoft Office Suite including Excel and Project * Significant healthcare experience and excellent risk adjustment and/or quality knowledge *… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** As the Manager , Workforce Risk , you will be a member of Molina Healthcare 's Protection Services Operations Center, ... for Molina facilities, remote workers, and employees in the field. The manager leads the in-house workforce risk team; utilizes self-service ergonomics… more
- University of Miami (North Miami, FL)
- …MARCH 2025 The department of Risk Management has an exciting opportunity for a full-time Manager , Risk Manager to work at the new SoLe Mia location in ... North Miami. The Manager , Risk Management supervises the activities of...prevention programs. The incumbent runs the University of Miami Healthcare System's risk management program with the… more
- Truist (Fort Lauderdale, FL)
- …review the following job description:** Underwrites credit exposure for Hospitals/ Healthcare and Higher Education/Not for Profit relationships and actively manages ... a Hospitals / Healthcare and Higher Education/Not for Profit portfolio. Includes day-to-day...for Profit portfolio. Includes day-to-day client interaction, managing portfolio risk and adheres to all regulatory and compliance guidelines.… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with physicians and their ... to review medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure opportunities. A major focus of… more
- HCA Healthcare (Margate, FL)
- …Do you want to join an organization that invests in you as a(an) RN Case Manager ? At HCA Florida Northwest Hospital, you come first. HCA Healthcare has committed ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...difference. We are looking for a dedicated RN Case Manager like you to be a part of our… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Risk Adjustment Auditor works in a collaborative effort directly with physicians, their office ... to ensure that medical documentation and supportive evidence complies with risk adjustment initiatives, improving revenue cycle and denial of payments. **ESSENTIAL… more
- Elevance Health (Miami, FL)
- **Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote ... miles of our Elevance Health PulsePoint locations. The **Director of Medicare Risk Adjustment Analytics and Reporting** is responsible for planning, directing and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Manager - Fraud, Waste & Abuse (FWA) is responsible for day-to-day activities of the FWA Program while meeting operational and service ... 5 years of experience in Medicare Advantage Plans or healthcare industry at large + Proven track record in...+ Proven track record in FWA, special investigations and risk assessment + Knowledge of claims, benefits and provider… more
- Molina Healthcare (Miami, FL)
- …State and Federal performance standards of Molina's most complex and high- risk , high maintenance delegated subcontractors which provide covered services and ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Bank of America (Miami, FL)
- …messaging to connect team contributions to business purpose, results, and success. + ** Risk Manager :** Inspects and challenges risk controls, governance and ... Treasury Sales Executive - Healthcare , Higher Education and Not For Profit New...ensure the timely identification, escalation, debate and remediation of risk across the organization. + **People Manager … more
- HCA Healthcare (Sunrise, FL)
- …Workforce Solutions which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** HealthTrust Workforce Solutions, offers a ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...+ Proactively develop strong relationships with the client hiring manager and stakeholders to ensure client expectations are met… more
- Convey Health Solutions (Fort Lauderdale, FL)
- The Manager , IT Infrastructure is a hands-on position responsible for a mission critical service requiring stability, reliability and performance optimization. The ... enterprise information systems, server and network infrastructure for a Healthcare -focused BPO company. Must be able to serve as...company. Must be able to serve as a hands-on manager and have the ability to perform server, network… more
- PNC (Miami, FL)
- …and have an opportunity to contribute to the company's success. As a Relationship Manager I - Business Banker within PNC's Business Banking organization, you will be ... their goals. PNC's targeted small business segments are Retail, Agricultural, Healthcare , Manufacturing, Professional Services, Wholesale and Women in Business. As a… more
- Molina Healthcare (Miami, FL)
- …active unrestricted RN license in the state of OH (Compact Licensure)_ _Case Manager RN will work in remote setting supporting our Medicare/Medicaid population who ... have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from inpatient to outpatient. Excellent computer… more
- Molina Healthcare (Fort Lauderdale, FL)
- **Job Description** **Job Summary** Molina Healthcare Services (HCS) Department works with members, providers, and multidisciplinary team members to assess, ... the care pod team based on identified member needs, risk indicators & member preference. + Monitors the Care...Word **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : + Certified Case Manager (CCM) certification within 24 months of hire +… more
- Sanofi Group (Miami, FL)
- …of the disease, screening, and approaches to effectively identify and screen people at- risk . The Community Relations and Education Manager is a field-based ... **Job title** : Community Outreach and Screening Education Manager , South FL **Location** : Remote- USA **About the Job** You are motivated to make a difference in… more
- Deloitte (Miami, FL)
- …show our clients that we serve more than HR organizations - from the CEO to CFO, Risk Manager to Business Unit leader-and that we deliver on our issues and help ... Deloitte's Actuarial & Insurance Solutions practice works with finance, actuarial, and risk functions to help life insurance companies, property & casualty insurance… more