- AdventHealth (Altamonte Springs, FL)
- …FL **The role you will contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary support for Care Management ... responsible for educating, informing and advising members of the Utilization Management , Care Management , Managed...experience with third party payors + CHCQM - Certified Healthcare Quality Management This facility is an… more
- Humana (Tallahassee, FL)
- …Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a medical ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in… more
- Humana (Tallahassee, FL)
- …Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a medical ... decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and...size of region or line of business. The Medical Director conducts Utilization Management of… more
- Humana (Tallahassee, FL)
- …Delivery Systems, health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical ... behavioral health topics to the clinical operations team and healthcare organization. The Medical Director 's work includes...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Tallahassee, FL)
- … management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers. + Utilization management experience in a ... size of region or line of business. The Medical Director conducts Utilization Management of...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- University of Miami (Miami, FL)
- …Department of SCCC Operations has an exciting opportunity for a Full Time Executive Director , Clinical Operations to work at the UHealth medical campus in Miami, FL. ... CORE JOB SUMMARYThe Executive Director , Clinical Operations assumes responsibility..., Clinical Operations assumes responsibility for the direction and management of the assigned clinical facilities. This position oversees… more
- AdventHealth (Maitland, FL)
- … Management , Practice Engagement and Transformation: + Oversees provider performance management , focusing on cost of care, utilization of resources, quality ... ** Director of Performance & Enablement Population Health** **All...preferred + 7 years experience in executive leadership in healthcare preferred Experience with data-driven performance management … more
- Select Medical (Miami, FL)
- …with Select Medical* **Location: Miami, FL** **$10,000 Sign-on Bonus** ** Director of Quality Management ** **(DQM)** **Responsibilities** **Position Summary** ... Orthopedic Conditions + Multiple Traumas Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/333333/ director -of-quality- management inpatient-rehab/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job **Job ID**… more
- Elevance Health (FL)
- …a State agency.*_ **Preferred Skills, Capabilities and Experiences:** + 1-2 years Utilization Management experience strongly preferred. + Strong oral, written, ... entire clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities including clinical… more
- Evolent (Tallahassee, FL)
- …economics related position within Utilization Management /Clinical Vendor Management functions + Knowledge of healthcare underwriting methodologies + ... for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools...Familiarity with value-based care and utilization management + Understanding of data systems… more