- CVS Health (Tampa, FL)
- …experience in healthcare/managed care leadership roles with experience in HEDIS/ Medicaid /Medicare/Duals/IFP Quality program performance management , ... Bring your heart to CVS Health . Every one of us at CVS ...of quality performance and leadership of Aetna's quality government programs (Medicare, Medicaid , IFP, Duals).… more
- Elevance Health (Tampa, FL)
- Wellpoint, formerly Amerigroup, is a proud member of Elevance Health 's family of brands, offering Medicaid and Medicare plans in several states. We also provide ... who will be responsible for appeals reviews within our Medicaid and Medicare programs.** The **Behavioral Health ...directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies… more
- MyFlorida (Clearwater, FL)
- … health care system to be the most cost-effective, transparent, and high- quality health care system in the nation. Current Agency initiatives include ... technological ecosystem, and increasing insight in the cost of health care services. Agency Objectives: HIGH QUALITY ...ABILITIES - Knowledge of the principles and practices of health care management . - Knowledge of … more
- Elevance Health (Tampa, FL)
- …Compact license is preferred. + Utilization Management experience preferred. + Medicaid Utilization Management Medicaid experience preferred. + Current ... Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality , cost effective care throughout the medical management process.… more
- Elevance Health (Tampa, FL)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and ... and Medicaid Services (CMS) division of the Department of Health and Human Services). This individual will support contractual workload involving complex… more
- Elevance Health (Tampa, FL)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and ... Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement Senior...perform all duties of lower-level positions as directed by management . + Participate in development and maintenance of Audit… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …analytical, and post-analytical processes to establish and monitor the overall laboratory quality management and quality control program, and initiate ... molecular markers of disease. The cytotechnologist is an integral part of the health care team and is directly involved in patient care through diagnostic assistance… more
- Humana (New Port Richey, FL)
- …at least 4 years of relevant experience. + A minimum of 6 years of Health Services/Case Management Experience. Care Coaches must meet **all** of the following ... part of our caring community and help us put health first** The Care Coach 1 assesses and evaluates...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Humana (Tampa, FL)
- …to the development, implementation, and management of the company's Medicare/ Medicaid Five-Star Quality Rating System. The Senior Stars Improvement, Clinical ... Health Plan + 3 or more years of Quality Improvement experience + Strong knowledge of Microsoft Office...to help people with Medicare, or both Medicare and Medicaid , achieve their best possible health and… more
- Elevance Health (Tampa, FL)
- …worksite and other locations as necessary. + HEDIS operations and quality improvement experience + Medicare/ Medicaid /Commercial/Exchange line of business ... office). Must reside within 50 miles/1hour commute from an Elevance Health location. The **Process Improvement Director-Enterprise HEDIS** is responsible for… more
- Humana (Tampa, FL)
- …23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid , achieve their best possible health and wellness through plans with ... part of our caring community and help us put health first** The Bilingual Telephonic Care Coach Specialist assesses...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Conviva (Tampa, FL)
- …+ Support clinicians with schedule templates, coverage, daily issues. + Assist with panel management . + Oversight of quality of assigned team members. + Meet ... part of our caring community and help us put health first** The Associate Medical Director serves as a...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Conviva (Land O' Lakes, FL)
- …practice professionals, pharm D, care coach nurses, medical assistants, behavioral health , specialists, quality -based coders, referral coordinators and more. Our ... part of our caring community and help us put health first** Humana's Primary Care Organization is one of...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Conviva (Tampa, FL)
- …Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health , Specialists, Quality Based Coders, Referral Coordinators and more. ... part of our caring community and help us put health first** Humana's Primary Care Organization is one of...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Conviva (Tampa, FL)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service ... part of our caring community and help us put health first** As a Medical Assistant, you will be...record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control… more
- Sevita (Tampa, FL)
- …For more than 50 years, our team members have provided home and community-based health care for adults, children, and their families across the United States. Our ... extraordinary team offers innovative, quality services and support that lead to growth and...the Compliance Audit team during audits; helps to support management discussions regarding identified issues affecting the business and… more
- Conviva (Safety Harbor, FL)
- …Communities + Medicare knowledge + Experience with Electronic Medical Record (EMRs) or Health Information Management (HIMs) systems + Knowledge of Excel, Word ... part of our caring community and help us put health first** The Supervisor, Center Administration plans and directs...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Sevita (Tampa, FL)
- …For more than 50 years, our team members have provided home and community-based health care for adults, children, and their families across the United States. Our ... extraordinary team offers innovative, quality services and support that lead to growth and...the Compliance Audit team during audits; helps prepare for management discussions regarding identified issues affecting the business and… more
- HCA Healthcare (Tampa, FL)
- …verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management , customer service, payroll and ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
- Sevita (Clearwater, FL)
- …implement services to meet an individual's needs. + Provide case management services including intake, assessment, crisis intervention, advocacy, referral, and ... serve on an as needed basis. + Coordinate care with outreach workers, health educators, nutritionists, and other service provides to prevent service duplication and… more