- ChenMed (Delray Beach, FL)
- …of back office center operations, which may include but is not limited to: clinical quality , compliance , human resources, patient experience and direct team ... with the development and execution of business strategies that increase revenue and quality ratings (HEDIS/STARS/ Clinical Gaps) and support our core model. +… more
- Highmark Health (Tallahassee, FL)
- …riskacross Highmark Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for monitoring ... assessing medical policy adherence and consistency in decision-making, identifying non- compliance issues, and developing and implementing quality control… more
- Elevance Health (Tampa, FL)
- …regional head of health care management to direct the clinical quality initiatives, including NCQA accreditation and compliance with regulatory agencies and ... ** Clinical Quality Director** **- Stars/HEDIS** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and office).… more
- BayCare Health System (New Port Richey, FL)
- …and problem solving. + Acts as liaison to Director of Physician Services, Director of Clinical Quality and Compliance , and Director of CBO. **Education** + ... services, insurance contract verification, utilization management, charge entry, collections, clinical support management, quality improvement, referral relations,… more
- Evolent (Tallahassee, FL)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Director, Clinical Quality is a pivotal role, spearheading continuous clinical ... to enhance clinical outcomes and operational efficiency. Additionally, the Director, Clinical Quality will support a portfolio of performance initiatives to… more
- Humana (Stuart, FL)
- …part of our caring community and help us put health first** The Quality Improvement Clinical Professional (RN) is responsible for the development, implementation ... Beach, Stuart, Jupiter - Treasure Coast/Palm Beach Market). The Quality Improvement Clinical Professional (RN) develops programs...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Trinity Health (Pensacola, FL)
- …Will Do** + Provide medical leadership and supervision for participant care + Oversee clinical quality , safety, and regulatory compliance + Lead and support ... as a **Medical Director** and lead a team dedicated to delivering compassionate, high- quality care to older adults. You'll oversee clinical outcomes, guide… more
- Fresenius Medical Center (Venice, FL)
- …Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance , and regulatory ... values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy...and local laws and regulations. + Ensures all FMS Clinical Quality policies and procedures are communicated… more
- AdventHealth (Altamonte Springs, FL)
- …and retrospective review process, oversight of provider communication, provider and clinical documentation specialist education, oversight of the Quality and ... each position may vary based on geographical location. **Category:** Quality / Clinical Effectiveness **Organization:** AdventHealth Corporate **Schedule:** Full-time… more
- AdventHealth (Orlando, FL)
- …at our Orlando location. Supporting Clinical outcomes, such as metrics and clinical quality measures. Supporting all campuses for the same patient outcome ... Engage campus nursing staff and leadership to be accountable for high quality practice. . Compliance /Regulatory Responsibility: * Direct accountable for assuring… more