- ChenMed (Jacksonville, 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
- Prime Therapeutics (Tallahassee, FL)
- …including clinical projects as determined by business needs. + Collaborating with Clinical Operations, IT, Quality , and Compliance as needed for program ... passion and drives every decision we make. **Job Posting Title** Clinical Pharmacist (Algo), Professional-Senior- REMOTE **Job Description** Maintains the inventory… more
- Prime Therapeutics (Tallahassee, FL)
- …Value, Regimens) and improvement efforts based upon business needs. + Collaborates with Clinical Operations IT, Quality , and Compliance as needed for ... drives every decision we make. **Job Posting Title** Policy Clinical Pharmacist- REMOTE **Job Description** Creates new and updates...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- ChenMed (Miami, FL)
- …impact employees and patients. The Program Manager, Clinical Operations & Quality closely collaborates with Compliance , Legal, and Human Resources to ensure ... great people to join our team. The Program Manager, Clinical Operations & Quality oversees all occupational...improved patient care procedures and control mechanisms relating to quality , compliance , and infectious diseases. + Participates… more
- Community Health Systems (Crestview, FL)
- …and maintains policies and procedures related to clinical nutrition to ensure quality and compliance with current standards. + Performs other duties as ... with healthcare teams to develop individualized care plans and ensures compliance with clinical nutrition standards and policies. **Essential Functions**… 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
- BayCare Health System (Wesley Chapel, FL)
- …and problem solving. + Acts as liaison to Director of Physician Services, Director of Clinical Quality and Compliance , and Director of CBO. + Office hours ... services, insurance contract verification, utilization management, charge entry, collections, clinical support management, quality improvement, referral relations,… more
- BayCare Health System (St. Petersburg, FL)
- …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
- Intermountain Health (Tallahassee, FL)
- …matter expertise in health care or related data ( Clinical Programs, Clinical Services, Compliance , Quality , Revenue Cycle, Strategic Planning, Finance, ... professionals contributing to the achievement of Intermountain's strategic initiatives, clinical excellence, and operational targets through data-driven insights, with… more
- Molina Healthcare (Orlando, FL)
- …support program regulations. **Job Duties** The Associate Vice President is a key Clinical Stars & Quality Improvement (QI) leader within the organization ... achieve quality goals. + Escalates gaps and barriers in implementation and compliance to SVP, Clinical Operations and CMO, Enterprise Medicare Unit, +… more
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