- BayCare Health System (St. Petersburg, FL)
- …on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Team Lead Utilization Review responsibilities include:** + ... award bonus + Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review Team Lead **Location** St… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Summary** The Lead Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team . Designs and develops reporting ... partners) to coordinate requirements, design and enhancements with the development team (s). *Assesses and analyzes computer system capabilities, work flow and… more
- HCA Healthcare (Bradenton, FL)
- …a data-driven environment of quality and cost improvement and develops systems to review utilization of resources and objectively measure outcomes of care in ... for appeals and denials process, discharge planning, case management, and utilization review /management. + Consults with facility-level staff regarding delegated… more
- HCA Healthcare (Sun City Center, FL)
- …Healthcare Quality) OR CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians). _Individuals without CPHQ or_ CHCQM _will be ... for a Director of Quality for our HCA Florida South Shore Hospital team where excellence creates excellence. **Benefits** HCA Florida South Shore Hospital, offers a… more
- Molina Healthcare (St. Petersburg, FL)
- …analysis. + Do root cause analysis for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies, outliers, trend changes ... HEDIS rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting to track progress and team productivity reporting.… more
- Fresenius Medical Center (St. Petersburg, FL)
- …advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our ... leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Terracon (Sarasota, FL)
- …operations of a department including staff training, development, and performance review , utilization of equipment and facilities, safety oversight, quality ... to protect the Company. Be familiar with company risk policies. + Lead safety efforts for team and ensure team follows safety rules and guidelines.… more