- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …in utilization of resources, avoidable days/denials. Works in collaboration with Appeals Management /Medical Director in the appeals process. + Responsible for ... health needs, develop individualized care plans, and ensure cost-effective, quality care in accordance with regulatory guidelines and organizational policies.… more
- Molina Healthcare (St. Petersburg, FL)
- …systems, hospitals and physician groups that result in high quality , cost effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction ... with Director /Manager Provider Contracts, negotiates high priority physician group and...+ Develops and maintains provider contracts in APTTUS contract management software. + Targets and recruits additional providers to… more
- Molina Healthcare (St. Petersburg, FL)
- …pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. **Job Duties** + Hires, trains and manages a ... activities and processes are compliant with CMS and National Committee of Quality Assurance (NCQA) guidelines and Molina policies and procedures. + Participates in… more
- AssistRx (Orlando, FL)
- The Project Manager will be a member of the PMO Team, reporting to the Director of Program Management . The PMO Team leads client software implementation projects ... and works closely with the Product Management team to identify opportunities and develop solutions. The...is a highly technical position with accountability for product quality that requires the ability to motivate and mentor… 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 ... **_EDUCATION & EXPERIENCE_** + Bachelor's Degree with preference given to Nursing, Quality Management or Healthcare Administration, or ten years + experience… more
- AssistRx (Orlando, FL)
- …manufacturing partners. In this role, you'll be working with pharmaceutical executives (Associate Director and above) on a daily basis to ensure they are receiving ... with the client through regular meetings/conference calls to review service quality and ensure they are receiving maximum benefit from iAssist's features… more
- ChenMed (Miami, FL)
- …collaborating with various departments and colleagues, including Safety Officer, Human Resource, Quality Officer, National Director Quality & Patient ... great people to join our team. The Program Manager, Clinical Operations & Quality oversees all occupational safety & health and infection prevention & control… more
- Elevance Health (Miami, FL)
- …clinical guidelines and/or policies to evaluate medical necessity. + Works with healthcare providers to promote quality member outcomes, optimize member ... with leadership in enhancing training and orientation materials. + May complete quality audits and assist management with developing associated corrective action… more
- AssistRx (Orlando, FL)
- …uptake, visibility and outcomes. Our talented team members provide therapy and healthcare system expertise to help patients achieve better results from care. A ... scoring, and reporting as well as system data entry quality . Within this role, the Quality Assurance...Specialist regularly provides support to the department managers and director to effectively maintain program operations and goals. +… more
- CACI International (Orlando, FL)
- …facility in Orlando, FL to, under minimal direction, manage several elements of the quality management system and other process quality initiatives to remain ... need and then administrate SCARs + Collaborate with the director , managers, and individual contributors within Manufacturing, Engineering and.../ Gemba Meetings + Experience with AS9100 and ISO Quality Management Systems - ** ** **What… more