• Division Director Regulatory Compliance

    HCA Healthcare (Tallahassee, FL)
    …Certified Professional in Healthcare Quality (CPHQ), or Certification in Healthcare Quality Management (CHCQM), or Master's Degree, or Doctorate ... affiliated facilities in the North Florida Division are a part of a quality healthcare network in North Florida. This network includes 15 affiliated hospitals, 5… more
    HCA Healthcare (08/22/25)
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  • Director Medical Management

    DOCTORS HEALTHCARE PLANS, INC. (Miami, FL)
    …+ Active RN license required (state-specific or compact). + Additional certifications in healthcare management or quality improvement are a plus. Experience: ... Quality Improvement initiatives. This role ensures effective care coordination, promotes quality healthcare delivery, manages healthcare costs, and… more
    DOCTORS HEALTHCARE PLANS, INC. (08/29/25)
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  • Manager, Clinical Data Acquisition (Remote)

    Molina Healthcare (Orlando, FL)
    …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 7+ years experience in managed healthcare Quality /HEDIS project management and HEDIS Audit * ... Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance… more
    Molina Healthcare (08/31/25)
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  • Interim VP of Quality

    HealthTrust Workforce Solutions (Trinity, FL)
    …procedures. **_EDUCATION & EXPERIENCE_** + Bachelor's Degree with preference given to Nursing, Quality Management or Healthcare Administration, or ten years ... 200,000 jobs nationwide. **_JOB SUMMARY_** The Interim Manager/Director of Quality Management and Infection Prevention manages the...+ experience in healthcare quality and patient safety is required + Master's degree… more
    HealthTrust Workforce Solutions (08/18/25)
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  • Supervisor, Care Management

    Molina Healthcare (FL)
    Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification. To ... to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based...to assist Molina Healthcare members with their healthcare needs. Care Management staff work to… more
    Molina Healthcare (08/27/25)
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  • Supervisor, Care Review (RN) Utilization…

    Molina Healthcare (Tampa, FL)
    …Utilization Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification. ... prior authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing Molina Healthcare more
    Molina Healthcare (08/20/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (St. Petersburg, FL)
    …benefit management , Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , ... disease management , and evidence-based guidelines. + Experience in Utilization/ Quality Program management + HMO/Managed care experience **PREFERRED LICENSE,… more
    Molina Healthcare (08/28/25)
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  • Medical Director Physician Advisor UM

    AdventHealth (Altamonte Springs, FL)
    …Physician Advisor + Prior experience with third party payors + CHCQM - Certified Healthcare Quality Management This facility is an equal opportunity employer ... to assist in the improvement of clinical documentation, patient safety, and quality outcomes. Through primary support of Utilization Management , the Physician… more
    AdventHealth (08/07/25)
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  • Vice President, Clinical Effectiveness

    Option Care Health (Tallahassee, FL)
    …Interests (PQIs) Participation in professional organizations related to healthcare , risk management or quality management . Due to state pay transparency ... professional service opportunities into tangible revenue growth and value Proven change management leadership experience related to quality , safety, and improved… more
    Option Care Health (06/12/25)
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  • Manager of Quality Risk Management

    HCA Healthcare (Brandon, FL)
    …Center we support our colleagues in their positions. Join our Team as a Manager of Quality Risk Management and access programs to assist with every stage of your ... and job skills. Apply today for our Manager of Quality Risk Management opening and continue to...General Surgery, Gynecology, Ophthalmology, Orthopedic, ENT, Plastics, Podiatry, Pain Management and Urology procedures. HCA Healthcare has… more
    HCA Healthcare (07/19/25)
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