• Director , Clinical Data Acquisition…

    Molina Healthcare (St. Petersburg, FL)
    …member/ provider ( HEDIS ) outreach and/or quality intervention or improvement studies (development, implementation, evaluation) and Director level experience. ... subject matter expert and lead for Molina Plan quality improvement HEDIS operations using a defined roadmap,...at least 4 years in health plan quality or process improvement or equivalent/related experience. * Operational… more
    Molina Healthcare (08/21/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (St. Petersburg, 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 (08/28/25)
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  • Manager, Clinical Data Acquisition (Remote)

    Molina Healthcare (Orlando, FL)
    …nature of the performance measurement data collection, reporting and monitoring process , including HEDIS , state-based measure reporting and medical record ... the soundness and correctness of data used to create HEDIS results. Manages state's annual CAHPS survey process...Defines use of in-house vs. vendor strategy for each HEDIS season. + May implement improvement activities… more
    Molina Healthcare (08/31/25)
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  • Registered Nurse - 1 1

    MyFlorida (Bonifay, FL)
    …operations. This position reports directly to the Executive Community Health Nursing Director . The position must be able to work independently requiring little ... out of office. Reviews non-compliant Healthcare Effectiveness Data and Information Set ( HEDIS ) list, supplied by Billing Clerks at Holmes and Washington. Sends… more
    MyFlorida (08/27/25)
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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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