• SQPE Specialist I

    Cleveland Clinic (Stuart, FL)
    …+ Act as a consultant in educating and evaluating clinical and support department staff regarding quality management regulations and standards of care. + ... to facilitate overall operations of programs. + Develop meaningful quality assurance and improvement activities with clinical ... Support medical staff quality assurance activities such as peer review, ongoing professional… more
    Cleveland Clinic (10/08/25)
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  • Vice President, Cardiology

    Evolent (Tallahassee, FL)
    …executive responsible for leading cardiology- and vascular-related utilization management, quality improvement, and clinical operations across Evolent's ... value-based care platform. This role ensures consistent, high- quality adjudication of cardiology decisions and serves as a...cardiology decisions and serves as a strategic liaison between clinical teams and clients. The VP will serve as… more
    Evolent (10/07/25)
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  • (Senior) Data Team Lead

    IQVIA (Miami, FL)
    …expertise to Clinical Data Management (CDM) team to provide high quality data management products that meet customer needs. Provide leadership and vision to ... end-to-end delivery of data management services for single/multi-service projects, ensuring quality deliverables on time and within budget, to customer satisfaction.… more
    IQVIA (08/01/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical experience + Documents clinical ... Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. + Provides training and support to clinical peers. + Identifies and refers members… more
    Molina Healthcare (09/06/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Tallahassee, FL)
    …with leadership, management, and clinical staff to address complex cases and support decision -making. + Act as a key resource for Initial Clinical ... Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular… more
    Evolent (07/30/25)
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  • RN Medical Claim Review Nurse Remote

    Molina Healthcare (Jacksonville, FL)
    …chief medical officers, physicians and member/provider inquiries/appeals. * Provides training and support to clinical peers. * Identifies and refers members with ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims payment… more
    Molina Healthcare (10/19/25)
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  • Health Services Administrator (O-6 Billet)…

    Immigration and Customs Enforcement (Miami, FL)
    …include managing staff, overseeing contracts, monitoring programs, and maintaining high- quality care. The role requires adaptability in a detention setting. ... all applicable policies, accreditation standards, laws, and regulations. Collaborates with the Clinical Director and Nurse Manager, as a function of the Triad of… more
    Immigration and Customs Enforcement (10/08/25)
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  • Board Certified Behavior Analyst (BCBA)

    Butterfly Effects (Boca Raton, FL)
    …status. We also lead with people: our BCBAs are at the center of every decision , with unmatched support , autonomy, and opportunities to grow. What Sets Us Apart ... Leadership support : Each market has locally or regionally based clinical directors available to provide guidance, collaboration, and on-the-ground support more
    Butterfly Effects (10/01/25)
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  • CNO AdventHealth South Overland Park

    AdventHealth (Altamonte Springs, FL)
    …integrates marketing and communication strategies. g. Utilizes hospital database management, decision support , and expert systems programs to access information ... identification, planning, implementation, and coordination of all processes which impact the quality and quantity of care delivered to the patients at their assigned… more
    AdventHealth (10/14/25)
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  • Care Manager, Telephonic Compact Registered Nurse

    Humana (Tallahassee, FL)
    …and independent determination of the appropriate courses of action. Humana Care Support is a division of Humana dedicated to helping adults remain independent ... members while concurrently navigating multiple computer applications. To ensure compliance and support the auto dialer process essential to our business, the daily… more
    Humana (09/26/25)
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