• Clinical Quality Director - Stars/…

    Elevance Health (Tampa, FL)
    **Clinical Quality Director ** **- Stars/ HEDIS ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and office). ... quality of life through home-care and community based services. The **Clinical Quality Director ** is responsible for working with the regional head of health care… more
    Elevance Health (07/18/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (FL)
    … activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, ... necessity. + Participates in and maintains the integrity of the appeals process , both internally and externally. Responsible for the investigation of adverse… more
    Molina Healthcare (08/08/25)
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  • Utilization Review - Registered Nurse

    Community Health Systems (Naples, FL)
    …who needs a reasonable accommodation for any part of the application or hiring process , contact the director of Human Resources at the facility to which ... **Job Summary** Under the direction of the UR Director /Manager the UR Nurse reviews all admissions for...members, providers, and leadership. Support and focus on performance improvement of the UR KPI's. Ensures proper and accurate… more
    Community Health Systems (07/12/25)
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  • APP, Supervisor - General Internal Medicine - Full…

    University of Miami (Miami, FL)
    …(https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process . To learn how to apply for a faculty or staff ... in th e collection of research data and quality improvement of patient care within the acute and outpatient...duties as assigned by the Chief and/or clinic Medical Director + Experience with Medicare Advantage (65+) patient population… more
    University of Miami (06/16/25)
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