• AVP, Quality Strategy and Initiatives

    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
    CVS Health (08/31/24)
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  • Behavioral Health Medical Director - Child…

    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
    Elevance Health (07/19/24)
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  • Health Facility Evaluator II

    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
    MyFlorida (07/08/24)
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  • Audit & Reimbursement Senior- Appeals

    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
    Elevance Health (08/28/24)
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  • Cytotechnologist

    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
    Veterans Affairs, Veterans Health Administration (07/05/24)
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  • Health Educator

    MyFlorida (Tampa, FL)
    HEALTH EDUCATOR - 64058776 Date: Aug 30, 2024...a minimum and providing guidance of ADAP and case management resources. + Assist as an event coordinator for ... Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 834467 Agency: Department of Health Working Title: HEALTH EDUCATOR - 64058776… more
    MyFlorida (08/24/24)
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  • RN Manager Care Management

    AdventHealth (Tampa, FL)
    …Repayment Program . Career Development . Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about ... to come . Awarded the Get With The Guidelines - Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been… more
    AdventHealth (09/01/24)
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  • Home Health Clinical Manager RN

    Aveanna (Palm Harbor, FL)
    …and a basic understanding of OASIS As an employer accepting Medicare and Medicaid funds, employees must comply with all health -related requirements in all ... Home Health Clinical Manager RN ApplyRefer a FriendBack Job...of the agency consistent with company policy and regional management directives. + Assists with the oversight of the… more
    Aveanna (07/30/24)
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  • Home Health Speech Language Therapist SLP…

    Aveanna (St. Petersburg, FL)
    …members of the patients' multi-disciplinary team, supply management , emergency management , coordination of care, health promotion and teaching and training ... in an acute care setting preferred As an employer accepting Medicare and Medicaid funds, employees must comply with all health -related requirements in all… more
    Aveanna (08/03/24)
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  • Field Care Coordinator - Bilingual

    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 (08/29/24)
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  • Senior Stars Improvement Nurse

    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
    Humana (08/30/24)
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  • Pharmacy Order Entry Technician

    BrightSpring Health Services (Largo, FL)
    …career progression! We offer: DailyPay Flexible schedules Competitive pay Shift differential Health , dental, vision and life insurance benefits Company paid STD and ... centers nationwide. If your passion is service excellence and top- quality care come join our team and apply today!...Point of Sale (POS) + Maintains current knowledge of Medicaid claim regulations and processes + May produce reports… more
    BrightSpring Health Services (08/14/24)
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  • Process Improvement Director- Enterprise HEDIS

    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
    Elevance Health (08/31/24)
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  • Bilingual Telephonic Care Coach Specialist

    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
    Humana (08/29/24)
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  • Associate Medical Director

    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 (08/23/24)
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  • Primary Care Physician - Conviva - Land O'

    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 (08/24/24)
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  • Human Services Program Analyst

    MyFlorida (Hudson, FL)
    …County Health Department. This work involves comprehensive client case management and care coordination, monitoring participant progress. Incumbent serves as a ... Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 836000 Agency: Department of Health Working Title: HUMAN SERVICES PROGRAM ANALYST - 64029088… more
    MyFlorida (08/23/24)
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  • Conviva - Physician - West Hillsborough

    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 (06/29/24)
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  • Medical Receptionist Conviva Lowry Park

    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
    Conviva (08/23/24)
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  • Compliance Clinical Auditor

    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
    Sevita (07/30/24)
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