- Molina Healthcare (Orlando, FL)
- …operation process designs and establishes procedures and techniques for operational standards. Confers with customers to define and resolve. ... **Knowledge/Skills/Abilities** Responsible for the oversight of regulatory compliance of Corporate Operations functions, including but not limited to performance of… more
- Molina Healthcare (St. Petersburg, FL)
- …and regulations, contract provisions, and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
- CVS Health (Tallahassee, FL)
- …heart, each and every day. **Position Summary** Drive growth for Medicare Advantage External Distribution Partnerships by setting strategic sales goals, crafting ... achieve measurable results. Act as Chief of Staff to the Executive Director of National External Distribution, ensuring alignment and execution of strategic… more
- Molina Healthcare (Tampa, FL)
- …on increased responsibility and adding value to the organization + Ensures strong operational processes are in place to deliver across all areas of responsibility + ... Provides oversight analyses of demographic data to support accurate Network Adequacy Reporting and Directory development. + Manage multiple resources and projects… more
- CenterWell (Tallahassee, FL)
- …improvement. + Work collaboratively with the Strategy Advancement and Operations Director to align clinical and operational priorities. **Quality Improvement ... and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical...skills; ability to collaborate effectively with clinicians, executives, and operational leaders. + Advanced knowledge of Medicare … more
- Prime Therapeutics (Tallahassee, FL)
- …passion and drives every decision we make. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account Director is ... As the primary point of contact for their designated BCBS clients, the director promotes and recommends Prime standard offerings to meet client requirements and… more
- Molina Healthcare (FL)
- …to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight , monitoring ... and implements process improvements to achieve member/provider satisfaction or operational effectiveness/efficiencies which contribute to Molina Medicare 's… more
- HCA Healthcare (Fort Lauderdale, FL)
- …This position is incentive eligible. **Job Summary and Qualifications** The Division Director of Ambulatory Clinical Quality will serve as the lead subject matter ... providers for HCA Physician Services. This will encompass providing oversight for the quality of care being provided by...providers and may increase as acquisitions occur). The Division Director of Ambulatory Quality is responsible for leading a… more
- Aveanna Healthcare (West Palm Beach, FL)
- Facility Director (RN) - Pediatric Medical Day Care Center ApplyRefer a FriendBack Job Details Requisition #: 203453 Location: West Palm Beach, FL 33411 Category: ... Nursing Salary: $75,000.00 - $85,000.00 per year Position Details Pediatric Location Director - RN (Registered Nurse) Work Location:2005 Vista Parkway, Suite 110A,… more
- Baylor Scott & White Health (Tallahassee, FL)
- …, Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor ... Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled...function for BSWH. + Recommends and implements strategic and operational plans and priorities for clinical denial management aligned… more