- Centene Corporation (Tallahassee, FL)
- …activities. + Performs medical review activities pertaining to utilization review, quality assurance , and medical review of complex, controversial, or ... provider practice patterns, and adequacy of benefit/payment components. + Identifies clinical quality improvement studies to assist in reducing unwarranted… more
- Evolent (Tallahassee, FL)
- …Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Provides clinical rationale for standard and ... the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a...+ On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall… more
- Evolent (Tallahassee, FL)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource ... You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the...to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Evolent (Tallahassee, FL)
- …well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Sunrise Senior Living (Coral Gables, FL)
- …team member relations and recognition, communication, family services, resident well-being, quality assurance , and regulatory compliance. Additionally, a key ... residents to competitors, with a declining trend that is below company average. ** Quality Assurance and Regulatory Compliance** + Strive for excellent quality… more
- CVS Health (Jacksonville, FL)
- …members and providers. Leads all aspects of utilization review/ quality assurance , directing case management Provides clinical expertise and business ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health...Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from… more
- University of Miami (Miami, FL)
- …+ Champions a patient-first culture by ensuring exceptional service, satisfaction, and clinical quality across all Imaging services. + Coordinates services ... sites to promote integration, collaboration, and efficiency. Regulatory Compliance & Quality Assurance + Ensures compliance with Joint Commission (JACHO)… more
- AdventHealth (Altamonte Springs, FL)
- …for providing clinical review of utilization, claims management, and quality assurance related to inpatient care, outpatient care/observation stays and ... with other disciplines to assist in the improvement of clinical documentation, patient safety, and quality outcomes....clinical denial appeals, as needed + Develops Medical Director relationships with payors to have open communication and… more
- CSL Plasma (Jacksonville, FL)
- …medically related topics. Documents each meeting. May serves as a member of the Quality Assurance Team. Acts as a liaison between the Corporate or Divisional ... as or delegates to another appropriate physician the duties of "laboratory director ", "technical consultant", or " clinical consultant" as prescribed by the… more
- Evolent (Tallahassee, FL)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource ... culture. **What You'll Be Doing:** As a Field Medical Director you will be a key member of the...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more