- Evolent (Tallahassee, FL)
- …well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Provides clinical rationale for ... with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …cost reduction where appropriate. + Collaborate with cross-functional teams including R&D, Quality Assurance , Regulatory Affairs, and Operations to align ... **Position Overview:** The Senior Director , MSAT Biologics provides strategic and technical leadership...validation lifecycle (PPQ, CPV, etc.) ensuring compliance with global regulatory standards. + Establish and oversee robust Continued Process… more
- Molina Healthcare (Orlando, FL)
- …release schedules and change management process * Sets direction of reporting quality assurance process to minimize end-user error identification * Sets ... end users for operational and strategic analysis. **Knowledge/Skills/Abilities** The Director of Reporting & Analytics is a key leader...in timely and concise manner * Ultimately responsible for quality assurance for all reports generated by… more
- Trinity Health (Pensacola, FL)
- …, safety, and regulatory compliance + Lead and support the Quality Assurance Performance Improvement (QAPI) program + Collaborate with hospitals, SNFs, ... **Employment Type:** Full time **Shift:** **Description:** **Medical Director - Trinity Health PACE** **Location:** Pensacola, Florida **Job Type:** Full-Time,… more
- Prime Therapeutics (Tallahassee, FL)
- …this position + Demonstrated ability to focus on customer service while providing for quality assurance in client solutions + Ability to openly, positively and ... It fuels our passion and drives every decision we make. **Job Posting Title** Director of Service Delivery **Job Description** The Director Service Delivery is… 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 , Oncology, you will be a key member of...requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale… 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 , Physical Medicine and Rehab you will be a...requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale… more
- PruittHealth (Jacksonville, FL)
- …services among all disciplines throughout the care of patient care delivery. * Quality Assurance & Performance Improvement (QAPI): Lead initiatives to improve ... ** Director of Home Health Services** Home is where...the quality of care and ensure regulatory compliance...the quality of care and ensure regulatory compliance across all regional agencies. * Infection Control:… more
- MUFG (Tampa, FL)
- …and board level committees + Maintain standard issues management (IM) templates + Provide quality assurance (QA) and reports on OpenPages issues + Engage with ... candidate will have a deep understanding of operational and information risk, regulatory requirements, and industry best practices, with experience leading teams in… more
- AdventHealth (Altamonte Springs, FL)
- …responsible for providing clinical review of utilization, claims management, and quality assurance related to inpatient care, outpatient care/observation stays ... assist in the improvement of clinical documentation, patient safety, and quality outcomes. Through primary support of Utilization Management, the Physician Advisor… more