• 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 ... audit projects and deliverables. This role also works with the Health Plan quality leads to strategically plan for supplemental data source (SDS) acquisition from… more
    Molina Healthcare (08/21/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare Quality + other healthcare certification To all current ... Utilization Management and Long-Term Services & Supports issues. + Identifies and reports quality of care issues. + Prepares and presents cases in conjunction with… more
    Molina Healthcare (08/15/25)
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  • VP Quality AdventHealth Central Florida…

    AdventHealth (Altamonte Springs, FL)
    …AND SKILLS REQUIRED** **:** Knowledge of strategic planning and development Measurement of healthcare quality , outcomes, and value Ability to work in a complex ... 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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  • Medical Director

    Molina Healthcare (Tampa, 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 (09/05/25)
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  • Quality Management Analyst 2

    University of Miami (Miami, FL)
    …Contacts regulatory agencies to research and clarify program rules. 10. Manages healthcare quality program departmental calendar to ensure all relevant ... Pathology Department at the University of Miami has an exciting opportunity for a Quality Management Analyst 2. CORE JOB SUMMARYThe Quality Management Analyst 2… more
    University of Miami (07/25/25)
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  • Quality Clinical Coordinator

    AdventHealth (Tampa, FL)
    …Hernia, Robotic Surgery, and Minimally Invasive Surgery. Preferred: Certified Professional in Healthcare Quality (CPHQ) This facility is an equal opportunity ... other diseases. **The role you'll contribute:** Reporting to the Quality and Patient Safety Leadership Team, the RN Process...FL RN license 5 years of related experience in healthcare with any amount in accreditations or OR. Effective… more
    AdventHealth (08/07/25)
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  • Quality Management Analyst 3

    University of Miami (Miami, FL)
    …Contacts regulatory agencies to research and clarify program rules. + Manages healthcare quality program departmental calendar to ensure all relevant submission ... . The Surgery-Histo & Immuno department has an exciting opportunity for a Quality Management Analyst 3 position. The incumbent conducts highly complex analysis while… more
    University of Miami (07/16/25)
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  • Director of Quality Management

    Select Medical (Pensacola, FL)
    …+ Bachelors or masters in nursing preferred. + Certified Professional in Healthcare Quality (CPHQ) preferred. **Additional Data** Select Medical strives to ... **Overview** **Critical Illness Recovery Hospital** **Director of Quality Management** At Select Specialty/Regency Hospitals, a division of Select Medical, we care… more
    Select Medical (08/23/25)
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  • Program Manager Nursing Quality

    Cleveland Clinic (Stuart, FL)
    …qualifications for the ideal future caregiver include: + Certified Professional in Healthcare Quality (CPHQ), Certified Nurse Leader (CNL) or applicable ... Join Cleveland Clinic Martin South Hospital's team of caregivers that provide top- quality patient care to the Port St. Lucie area. Opening its doors in 2013 and… more
    Cleveland Clinic (07/10/25)
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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 ... Stars Improvement Clinical Professional (RN) collaborates with market leadership, and quality improvement team to develop and implement programs designed to increase… more
    CenterWell (08/13/25)
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