• AVP, Clinical Stars & Quality Improvement

    Molina Healthcare (Orlando, FL)
    **Job Summary** This role oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs supporting Medicare ... Star Ratings improvement for Clinical HEDIS measures. Responsible for planning, developing...with senior executives, Vice Presidents and others across Molina Healthcare (within Molina Plans and within various corporate departments)… more
    Molina Healthcare (08/28/25)
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  • Quality Improvement RN

    CenterWell (Tampa, FL)
    …+ Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS/Stars/CMS + Excellent presentation ... community and help us put health first** The Stars Improvement , Clinical Professional (RN) is responsible for the development,...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    CenterWell (08/13/25)
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  • Quality Improvement RN

    CenterWell (New Smyrna Beach, FL)
    …+ Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS/Stars/CMS + Excellent presentation ... of our caring community and help us put health first** The Stars Improvement Clinical Professional (RN): + Collaborates with market leadership, and quality … more
    CenterWell (08/12/25)
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  • Manager, Clinical Data Acquisition (Remote)

    Molina Healthcare (Orlando, FL)
    Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance ... or higher in a clinical field, Public Health or Healthcare . **PREFERRED EXPERIENCE:** * STARS improvement experience * CAHPS improvement experience * 3+… more
    Molina Healthcare (08/31/25)
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  • Director, Clinical Data Acquisition (HEDIS / Risk…

    Molina Healthcare (St. Petersburg, FL)
    …requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops ... collection of clinical data acquisition related to performance reporting and improvement , including member and provider outreach. + Serves as operations subject… more
    Molina Healthcare (08/21/25)
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  • Program Manager- Healthcare Enrollment…

    Molina Healthcare (Orlando, FL)
    …3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft ... and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes relative to the… more
    Molina Healthcare (09/06/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (St. Petersburg, FL)
    …Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement , medical utilization management, ... medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and… more
    Molina Healthcare (08/28/25)
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  • VP Quality AdventHealth Central Florida Division…

    AdventHealth (Altamonte Springs, FL)
    … methodology such as: Lean, Six Sigma, Change Management, and/or Institute of Healthcare Improvement (IHI) Certified Professional in Healthcare Quality ... or critical care areas Eight (8) years progressive leadership experience in healthcare Quality program development, process improvement and project management… more
    AdventHealth (08/07/25)
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  • Accreditation Program Manager - NCQA SME

    Molina Healthcare (Jacksonville, FL)
    …3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft ... 5 years in healthcare , with 2+ years in health plan quality improvement or managed care. (HIGHLY PREFERRED)** + **Strong knowledge of NCQA standards and EQRO… more
    Molina Healthcare (09/08/25)
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  • Director of Performance Improvement Labor

    HCA Healthcare (Tallahassee, FL)
    …you want to join an organization that invests in you as a Director of Performance Improvement Labor? At HCA Healthcare , you come first. HCA Healthcare has ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...We are looking for a dedicated Director of Performance Improvement Labor like you to be a part of… more
    HCA Healthcare (07/26/25)
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