White-Wilson Medical Center: Multi-specialty medical group providing outpatient primary and specialty care.
1+ YOECertified Medical Assistant (REQUIRED). 1 year medical/clinical experience preferred; primary care/outpatient/population health preferred; familiarity with EHR (Athena) preferred; knowledge of value-based care, HEDIS, and Medicare Advantage a plus.
NeueHealth: Operates primary care clinics and provides healthcare management technology.
7+ YOEBachelor's in relevant field required (MBA/MHA/MPP preferred), 7+ years in healthcare consulting/value-based care program management, experience with CMS models (MSSP/ACO REACH), remote team management, and proficiency with MS Office (Excel, PowerPoint, Word).
MS Office, Microsoft Excel, Microsoft PowerPoint, Microsoft Word
GuideWell: Provides health insurance and clinical care through multiple brands.
7+ YOE7+ years in healthcare consulting or value-based analytics,5+ years management experience,Bachelor's degree or equivalent experience,experience with population health and attribution,strong analytical and communication skills.
Hartford or Arkansas or Idaho or Texas or Georgia or Montana or Iowa or Wisconsin or Oregon or Washington or New York or District of Columbia or Nebraska or Rhode Island or Tennessee or Kentucky or Ohio or West Virginia or Maryland or Massachusetts or South Carolina or Missouri or Utah or Arizona or South Dakota or Pennsylvania or New Hampshire or Vermont or Minnesota or New Mexico or Michigan or California or Maine or North Dakota or Kansas or Indiana or New Jersey or Nevada or Louisiana or Mississippi or Oklahoma or Alabama or Virginia or Illinois or North Carolina or Colorado or Florida or Wyoming or Delaware
$54k-$159k/yrHybridFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
3+ YOE3-5 years experience with Medicaid-focused work, strong problem solving, collaboration, execution skills; bachelor\u0002s degree or equivalent experience; experience with Medicaid value-based programs preferred.
Memorial Healthcare System: Providing specialized medical services and comprehensive hospital care.
7+ YOE5+ MgmtMaster's required; 7+ years in Medicare ACO/Commercial CIN or health plan settings and 5+ years managerial experience; expertise in value-based care strategy, analytics, contract and vendor management, and clinical quality improvement.
Orlando or Tampa or Jacksonville or Miami or St Petersburg or Long Beach or Florida
$97k-$190k/yrRemoteFull Time
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
8+ YOE3+ Mgmt8+ years managed care experience including VBP, 3+ years management, experience with Medicaid/Medicare/Marketplace, knowledge of risk adjustment, HEDIS and Medicare STARS, coding, medical economics, and Microsoft Office proficiency.
Microsoft Office, Healthcare Effectiveness Data and Information Set (HEDIS), Medicare STARS
Broward Health: Operates public hospitals and healthcare centers in South Florida.
7+ YOEBachelor's degree and seven years related experience in revenue cycle/value-based billing; expertise in risk adjustment, coding, auditing, and payer relations; preferred credentials in coding and auditing.
Nurse Practitioner or Physician Assistant (Value-Based Care)
Orlando or Tampa or The Villages
OnsiteFull Time
Premier MedicalNew York Stock Exchange: NEUE: Provides primary and multi-specialty healthcare services through medical clinics.
2+ YOENurse Practitioner or Physician Assistant with Florida licenses, board certification preferred; Master's in nursing; 2+ years clinical experience; Value-Based Care experience; bilingual English/Spanish preferred.
EHR, telemedicine software, medical database software, medical billing software, prescribing software, scheduling software
United States or New York or New Jersey or Maryland or District of Columbia or Virginia or Oklahoma or Kansas or Pennsylvania or Texas or Florida or Georgia
$150k-$170k/yrRemoteFull Time
Ennoble Care: Mobile primary, palliative, and hospice healthcare services.
5+ YOE5+ years actuarial/medical economics or analytics experience focused on Medicare risk models and VBC; Bachelor\u0002s in quantitative field; ASA preferred; advanced Excel and SQL; experience with Medicare claims datasets (CCLF, BCDA).
Claims and Claims Line Feed (CCLF), Beneficiary Claims Data API (BCDA), EHR, SQL, Microsoft Excel, Microsoft Azure
Evara Health: Providing primary and preventative medical services to local communities.
2+ YOELPN required with 2+ years LPN experience and 1+ year utilization review/case management experience; active Florida LPN license and current BLS; ability to conduct clinical reviews, patient outreach, documentation, and use HEDIS/quality measures.
Orlando Health: A private, non-profit network of healthcare and hospital facilities.
Understand HEDIS/CMS measures, produce quality metric reports, extract/validate data from EHRs, perform chart audits, and present findings; high school diploma and proficiency in Microsoft Office/Excel required.
EHRs, Microsoft Office Products, Microsoft Excel, PowerPoint
The Wound Company: On-demand virtual and in-person wound and ostomy care.
3+ YOELicensed NP with wound care certification (WOCNCB or equivalent), Master’s degree, minimum 3 years wound specialist experience and 1 year NP wound experience; ability to provide home- and community-based care and use telehealth.
Registered Nurse Care Manager -Value Based Care (Must Reside in FL)
Orlando or Florida
RemoteFull Time
Cardiovascular Associates of America: Operates a national network of cardiovascular medical practices.
3+ YOEActive unrestricted RN license, 3–5 years clinical nursing experience (cardiology or care management preferred), experience with value-based care, strong clinical assessment/triage, leadership, documentation in care management system and EMR; remote work in Florida required.
Care Management system, Electronic Medical Record (EMR)
Residential High Value Insurance Appraiser - Sarasota, FL
Sarasota, Florida, United States
FieldContract
EXLNASDAQ: EXLS: Global provider of data analytics and digital operations services.
Conduct on-site and virtual high-value home property surveys, document construction characteristics and measurements, produce replacement value estimates, and complete web-based reports; independent, reliable, and computer-savvy.
Upperline Health Endocrinology Opportunity New Port Richey FL | Value-Based Care (30k Sign-On Bonus)
New Port Richey, Florida, United States
OnsiteFull Time
Upperline Health: Specialty medical care for lower extremity and vascular conditions.
MD/DO with endocrinology board certification or eligibility, active state medical license (or ability to obtain), DEA registration (or eligibility), familiarity with diabetes technologies and value-based care, strong communication and interdisciplinary skills.
Primary Care Physician - Competitive Pay, Sign-on Bonus, Value-Based Care
Starke, Florida, United States
$300k/yrOnsiteFull Time
Upperline Health: A provider network focused on value-based specialty medical care.
MD/DO with completed Internal Medicine or Family Medicine residency, board certification or eligibility, state medical license and DEA registration (or ability to obtain), BLS, outpatient primary care skills, and EHR documentation proficiency.
Oncology Practice Enablement Clinician Sr. - Quality, Value Based Care, and Practice Tranformation
Chicago or Denver or Miami or Cincinnati or New York City or Tampa or Norfolk or Mason or Grand Prairie or Walnut Creek or Atlanta
$113k-$203k/yrFieldFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
7+ YOEBA/BS in Nursing or Pharmacy, PharmD, or MSW and 7+ years clinical/medical management experience; active unrestricted state license (RN, NP, RPh, MSW, LCSW); strong communication, facilitation, analytical skills; oncology experience preferred.