- Centene Corporation (Orlando, FL)
- …years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations. ... for issue resolution. Drive optimal performance in contract incentive performance, quality , and cost utilization. + Serve as primary contact for providers… more
- CVS Health (Tallahassee, FL)
- …and collaborates with key stakeholders to drive network growth and ensure high- quality provider relationships. **What you will do** + Develops and implements ... providers. + Monitors and evaluates provider performance metrics, such as quality indicators, patient satisfaction scores, cost efficiency measures, and adherence to… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …with 2 years' experience in regulatory affairs or related areas (eg, clinical development, project management, quality assurance, etc.) in pharmaceutical or ... and guidelines. - Confirms submission documents are accurate, compliant, and high- quality to allow for smooth and expeditious approvals from regulatory authorities.… more
- US Tech Solutions (Miami, FL)
- …healthcare costs and improve healthcare program/operational efficiency involving clinical issues + Determines medical necessity/ appropriateness Facilitates optimal ... outcomes Identifies and follow through with continuous quality / compliance opportunities . May also include identification of aberrance's and initiation of… more
- AdventHealth (Port Charlotte, FL)
- …with patients, families, physicians, administration, and associates to provide high- quality care. Additionally, this role oversees the implementation of policies ... to maintain optimal patient outcomes. This position develops and monitors the clinical integrity of assigned programs, supports staff development, and fosters a… more
- Centene Corporation (Tallahassee, FL)
- …primarily mental and behavioral health needs members to provide high quality , cost-effective healthcare outcomes including personalized care plans and education for ... status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on… more
- Cleveland Clinic (Vero Beach, FL)
- …through the American Heart Association (AHA) + 3-5 years of recent RN clinical experience + Working knowledge of MCG guidelines Preferred qualifications for the ... + 2 years of recent experience in utilization review, quality or care management + Knowledge of acute care...and accreditation requirements + Experience in discharge planning and quality improvement Our caregivers continue to create the best… more
- Centene Corporation (West Palm Beach, FL)
- …primarily mental and behavioral health needs members to provide high quality , cost-effective healthcare outcomes including personalized care plans and education for ... status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on… more
- HealthTrust Workforce Solutions (Trinity, FL)
- …access to more than 200,000 jobs nationwide. **_JOB SUMMARY_** The Interim Manager /Director of Quality Management and Infection Prevention manages the facility ... Infection Control Program. **_RESPONSIBILITIES & JOB FUNCTIONS_** + Understanding of quality principles, theories and tools. + Data analysis and statistical… more
- HCA Healthcare (Trinity, FL)
- …in 21 states and the United Kingdom. We are looking for a(an) VP of Quality and Patient Safety for our HCA Florida Trinity Hospital team where excellence creates ... an influencer in healthcare? **Apply for our VP of Quality and Patient Safety role today!** **Job Summary and...Registered Nurse preferred _**If serving as facility's primary Risk Manager , VP must have current Florida license in Healthcare… more