- Centene Corporation (Tallahassee, FL)
- …flexibility. **Position Purpose:** Oversees the operation of initiatives and programs focused on improvement in pharmacy quality measures (Part D Patient ... QI structure + Manages multiple corporate committees (ie Pharmacy Quality Oversight, Quality Improvement Work group, Drug Utilization Review) + Performs… more
- CenterWell (Tallahassee, FL)
- …under purview + Support pharmacy performance improvement activities and align pharmacy services with improvement quality metrics and Medicare part D ... community and help us put health first** The National Director , Clinical Pharmacy is a strategic ...other crucial areas; as well as development of other pharmacy -related clinical initiatives to improve medication quality ,… more
- Centene Corporation (Tallahassee, FL)
- …Purpose: Oversee the clinical pharmacy services function and develop new quality improvement and revenue enhancement activities + Engage with pharmacy ... vision + Support the development of organizational policies and procedures, including pharmacy service quality , pharmacy utilization management and… more
- Centene Corporation (Tallahassee, FL)
- …the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. + Provides ... leadership of all for utilization management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining… 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
- Prime Therapeutics (Tallahassee, FL)
- …management and employee development efforts and manage toward departmental goals, including quality and process improvement efforts + Drive development and ... It fuels our passion and drives every decision we make. **Job Posting Title** Director Finance & Analysis - Remote **Job Description** The Director of Finance… more
- Cardinal Health (Tallahassee, FL)
- …passionate about helping oncology practices navigate the future. As the Senior Director , Operations, you will be responsible for oversight of practice operations for ... commitments and service levels for the practice. The Senior Director , Operations will be a seasoned leader and advisor,...will have a strong bias for action and process improvement . Expertise will be needed in the following areas:… more
- CenterWell (Tallahassee, FL)
- …+ Establish relationship with post-visit/offshore coding leadership. + Develop continuous quality improvement initiatives to support improved documentation and ... 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,… more
- CenterWell (Tallahassee, FL)
- …Instructs and guides clinicians to promote more effective performance and delivery of quality home care services, and is available at all times during operating ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more
- Prime Therapeutics (Tallahassee, FL)
- …claims, healthcare and/or benefits data + Experience in the implementation of quality process improvement efforts **Minimum Physical Job Requirements** + ... Reports to Principal, Manager, Director , or Sr Director in the Health Outcomes, Pharmacy Audit,...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Prime Therapeutics (Tallahassee, FL)
- …leadership, aiding in the development of analytical skills and a focus on process improvement + Consult with business and other resources to gain an understanding of ... approach and solution orientation **Preferred Qualifications** + 3 years Pharmacy Benefit Management (PBM) experience + MBA or CMA...ability to adjust focus **Reporting Structure** + Reports to Director or Senior Director in the Finance… more
- Prime Therapeutics (Tallahassee, FL)
- …written responses to proposal questions using the established criteria for quality proposal responses; partner with stakeholders to ensure inclusion of strategic ... Formulary, Underwriting and other departments to drive RFP process and response improvement to help promote company-wide understanding and adherence to the RFP… more
- Prime Therapeutics (Tallahassee, FL)
- … claims, and/or healthcare data + Experience in the implementation of quality process improvement efforts **Minimum Physical Job Requirements** + Constantly ... ability to adjust focus **Reporting Structure** + Reports to Director in the Pharmacy Trade Relations department...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Prime Therapeutics (Tallahassee, FL)
- …a variety of complex problems + Drive enterprise-wide transformation and process improvement to financial pricing analytics processes and programs + Other duties as ... financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related...ability to adjust focus **Reporting Structure** + Reports to Director or Senior Director in the Network… more
- Prime Therapeutics (Tallahassee, FL)
- …+ Support the identification and analysis of areas where process redesign/ improvement can significantly impact efficiency, quality , profitability, and/or ... appropriate tools, and lead creation of the business case to conduct redesign/ improvement + Other duties as assigned **Minimum Qualifications** + Bachelor's degree… more