JOB DESCRIPTION Job Summary Leads and directs team responsible for value-based programs (VBP) activities. Responsible for developing and implementing value-based strategies for lines of business impacted by the regulatory risk adjustment payment model. Supports achievement of financial
JOB DESCRIPTION Job Summary This position will offer remote work flexibility, but the candidate selected for this role must reside in Florida. Leads and manages multidisciplinary team of healthcare services professionals in some or all of
JOB DESCRIPTION Job Summary This position will offer remote work flexibility, but the individual hired for this role will need to reside in Florida. Provides lead level clinical support to healthcare services team supporting one or
Join Tyson & Mendes – Where Insurance Defense Meets Innovation Please note: An active bar license in the State of Florida is required. At Tyson & Mendes, we’re more than a national litigation firm—we’re a force
Company Description Chamberlain With more than 135 years of history in healthcare education and as the largest nursing school in the country, Chamberlain University is committed to delivering a high-value education that prepares students to thrive
Job Title Behavioral Health Clinical Reviewer Job Description Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services are medically necessary and align with established clinical guidelines,
