- Ascension Health (Jacksonville, FL)
- …of responsibility, to include but not limited to; + Quality and Safety + Utilization Review + Peer Review and Credentialing + Growth and Strategic Planning ... improvement of services, policies, processes, and programs, including medical practice review , governance, credentialing, privileging, peer review , medical… more
- University of Miami (Miami, FL)
- …+ Work with Physician, Nurse Liaison and Administrative Assistant to appeal any denial or Peer to Peer review to ensure all procedures are authorized prior ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of… more
- Molina Healthcare (St. Petersburg, FL)
- …manages Medical Directors + Develops medical policies and procedures + Conducts peer review **JOB QUALIFICATIONS** **REQUIRED EDUCATION:** * Doctorate Degree in ... in Utilization/Quality Program management + Previous leadership experience + Peer review , medical policy/procedure development, and provider contracting… more
- Wolters Kluwer (Tampa, FL)
- …including collaboration with expert clinical consultants in the field. + Conducts peer review of content development (eg, professional drug monographs, ... content structures for embedded datasets. + Submits work for collaborative peer review and responds appropriately to comments and feedback. + Critically,… more
- University of Miami (Miami, FL)
- …the patient and family. + Actively participates in quality assurance programs and peer review activities. + Responsible for providing assistance to physicians in ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The is NOT… more
- Highmark Health (Tallahassee, FL)
- …templates, defining test strategy and assumptions **OR** test case and test plan peer review **Preferred** + 5 years of developing test automation software ... expected to participate in refining the CICD process, code review their code, and engage in manual testing. The...to SOC2 standards set forth by Principal Analysts. Performs peer reviews of testing artifacts. Acquires, manipulates or creates… more
- HCA Healthcare (Miami, FL)
- …The Quality Coordinator may also assists in the collection/reporting of data for peer review to support the credentialing and reappointment process. This staff ... by the Manager or Vice President of Quality such as Sepsis, Stroke, Peer Review , and Cancer Care. **What qualifications you will need:** + Associate Degree,… more
- TECO Energy (Tampa, FL)
- …with outside departments. + Prepare settlements analysis and research reconciling items. + Peer review settlement reports. + Review and analyze accuracy ... outside departments. + Prepare settlements analysis and research reconciling items. + Peer review settlement reports. + Review and analyze accuracy of all… more
- University of Miami (Miami, FL)
- …Supports medical staff committees (eg, Medical Executive Committee, Credentialing Committee, Peer Review Committee) by preparing agendas, recording accurate ... Supports medical staff committees (eg, Medical Executive Committee, Credentialing Committee, Peer Review Committee) by preparing agendas, recording accurate… more
- Molina Healthcare (Tampa, FL)
- …free of sanctions from Medicaid or Medicare. **Preferred Experience** * Peer Review , medical policy/procedure development, provider contracting experience. * ... all LOBs * Responds to BH-related RFP sections and review BH portions of state contracts * Assist the...treatment * Provides second level BH clinical reviews, BH peer reviews and appeals * Supports BH committees for… more