Nahse
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that
together
we are even better.
All the benefits and perks you need for you and your family:
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Schedule: Full time
Shift: Day (United States of America)
Address: 2600 LUCIEN WAY
City: MAITLAND
State: Florida
Postal Code: 32751
Job Description:
Communicates clinical cost, utilization, appropriate coding and documentation, quality, and member service opportunity studies and their recommendations to appropriate stakeholders.
Leads efforts to develop and implement systems and processes to improve the clinical cost, utilization, appropriate coding and documentation, quality, and member service outcomes.
Leads the peer review program and facilitates interaction with network providers regarding corrective action plans.
Oversees credentialing operations, including reviewing applications and participating in committee meetings.
Acts as a liaison for clinical issues between network providers and leadership. Educates network practices and physicians on performance improvement and best practices.
The expertise and experiences you’ll need to succeed: QUALIFICATION REQUIREMENTS:
Doctorate (Required) American Board of Medical Specialties (ABMS) - Accredited Issuing Body, Doctor of Osteopathic Medicine (DO) - EV Accredited Issuing Body, Medical Doctor (MD) - EV Accredited Issuing Body
Pay Range: $206,606.17 - $413,212.34
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
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together
we are even better.
All the benefits and perks you need for you and your family:
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Schedule: Full time
Shift: Day (United States of America)
Address: 2600 LUCIEN WAY
City: MAITLAND
State: Florida
Postal Code: 32751
Job Description:
Communicates clinical cost, utilization, appropriate coding and documentation, quality, and member service opportunity studies and their recommendations to appropriate stakeholders.
Leads efforts to develop and implement systems and processes to improve the clinical cost, utilization, appropriate coding and documentation, quality, and member service outcomes.
Leads the peer review program and facilitates interaction with network providers regarding corrective action plans.
Oversees credentialing operations, including reviewing applications and participating in committee meetings.
Acts as a liaison for clinical issues between network providers and leadership. Educates network practices and physicians on performance improvement and best practices.
The expertise and experiences you’ll need to succeed: QUALIFICATION REQUIREMENTS:
Doctorate (Required) American Board of Medical Specialties (ABMS) - Accredited Issuing Body, Doctor of Osteopathic Medicine (DO) - EV Accredited Issuing Body, Medical Doctor (MD) - EV Accredited Issuing Body
Pay Range: $206,606.17 - $413,212.34
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
#J-18808-Ljbffr