- Highmark Health (Tallahassee, FL)
- …and various cross-functional teams, locations and departments to improve Stars and/or Quality Rating outcomes for Medicare Advantage across footprint. Designs, ... budgetary responsibility and authority. + Develop, implement and execute, the Provider STARs quality strategy, support/develop technology and data strategies… more
- J&J Family of Companies (Tallahassee, FL)
- Director , Supply Chain Quality & Quality Excellence - 2406205796W **Description** DePuy Synthes is recruiting for a ** Director , Supply Chain Quality ... At Johnson & Johnson, we all belong. DePuy Synthes (DPS) Supply Chain Quality and Quality Excellence Leader will develop and deploy process improvement… more
- CenterWell (Tallahassee, FL)
- …of our caring community and help us put health first** The Associate Director , Coding Education identifies opportunities to improve provider documentation and ... creates an education plan tailored to each assigned provider . The Associate Director , Coding Education requires...Organization. You will oversee training strategy and execution, training quality assurance and data analytics for provider … more
- Evolent Health (Tallahassee, FL)
- …operational improvement initiatives to improve performance, satisfaction, and clinical quality / outcomes . **Teamwork/Collaboration** - serves as a liaison between ... trust- **Required.** + Experience identifying and deploying initiatives across a provider network to drive clinical and financial outcomes - **Required.**… more
- CenterWell (Tallahassee, FL)
- …part of our caring community and help us put health first** The Associate Director , Advanced Practice Provider , NP is a leadership position that applies advanced ... education and clinical competencies to achieve optimal patient outcomes . The Associate Director , Advanced Nurse Practitioner, NP requires a solid understanding… more
- CenterWell (Tallahassee, FL)
- …leader will play a critical role in ensuring optimal patient care, high quality health outcomes , and improved cost and utilization in pharmacy-related care, ... our caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible for developing, implementing,… more
- CenterWell (Tallahassee, FL)
- …of our caring community and help us put health first** The Associate Director , Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, ... other payers, and over government agencies. In addition, the Associate Director , Risk Adjustment oversees all medical coding education activities. The Associate… more
- Evolent Health (Tallahassee, FL)
- …a scheduled basis. + In conjunction with other leaders, measures Field Medical Director productivity, quality , and telephone statistics + In close partnership ... partners with health plans and providers to achieve better outcomes for people with most complex and costly health...the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a… more
- Centene Corporation (Tallahassee, FL)
- …Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. + Provides medical ... leadership of all for utilization management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to… more
- CVS Health (Tallahassee, FL)
- …- Medical Directors will participate in inter-rater review activities and other quality oversight processes for internal Director UM decisions. If specifically ... activities across the PBM. In this role you may provide consultative clinical support to Account Management in support...Directors will participate in inter-rater review activities and other quality oversight processes for internal Director UM… more
- HCA Healthcare (Tallahassee, FL)
- …for actively participating and successfully completing the Clinical Resource Associate Director program. This competency-based program will provide extensive ... 156,000 hours volunteering in our communities. As a(an) Associate Director Clinical Resources with HCA Healthcare you can be...supply expense per adjusted admission while maintaining or improving quality and outcomes . + Assist in the… more
- CVS Health (Tallahassee, FL)
- …to ensure the delivery of holistic and integrated person-centered care. The Medical Director will be responsible for provider education regarding best clinical ... policies and procedures, and responsible health care expenditure to improve clinical outcomes . They will help lead continued quality improvement and evolution… more
- Highmark Health (Tallahassee, FL)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provided to the interdisciplinary team in cooperation with the Executive Medical Director + Evaluate quality assurance and performance improvement plans and… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing skilled ... nursing facility requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in… more
- Conviva (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety of medical records and ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Director , Medical Coding requires an in-depth understanding of how organization capabilities… more
- Cayuse Holdings (Tallahassee, FL)
- …and government client missions, focused on minimizing risk through the delivery of quality outcomes . The Business Development Director - Department of ... Veterans, LLC is an SBA Tribal 8(a) certified technology and government solutions provider . We provide innovative solutions and delivery excellence across a… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
- Marriott (Tallahassee, FL)
- …short term plans for the team to effectively utilize resources. + Monitors Service Provider and internal team's outcomes . + Reviews estimates of work effort for ... **Position Type** Management **JOB SUMMARY** Marriott has an exciting opportunity for a Director on the Corporate Systems team within the Finance domain. This role… more
- Evolent Health (Tallahassee, FL)
- …improve and drive consistency in product ROI methodology and value metrics, including quality , cost of care, and provider and member experience. **Qualifications ... partners with health plans and providers to achieve better outcomes for people with most complex and costly health...the capabilities that power our mission to improve care quality , affordability and experience for people with complex health… more
- Huron Consulting Group (Tallahassee, FL)
- …our team and create your future **Position Summary** The Financial Research Director will partner with Huron Business Advisory (HBA) practice Managing Directors and ... and other potential clients and referral sources. **Improve the quality and the success of the practice's business development...to quickly translate high-level objectives into action plans and outcomes + Ability to manage, oversee and execute a… more