• AVP, Clinical Stars & Quality

    Molina Healthcare (Orlando, FL)
    **Job Summary** This role oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs supporting ... **Job Duties** The Associate Vice President is a key Clinical Stars & Quality Improvement (QI) leader within the organization enterprise-wide. This position… more
    Molina Healthcare (08/28/25)
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  • Quality Improvement RN

    CenterWell (Tampa, FL)
    …experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS/Stars/CMS + Excellent ... Clinical Professional (RN) collaborates with market leadership, and quality improvement team to develop and implement...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    CenterWell (08/13/25)
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  • Quality Improvement RN

    CenterWell (New Smyrna Beach, FL)
    …experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS/Stars/CMS + Excellent ... Improvement Clinical Professional (RN): + Collaborates with market leadership, and quality improvement team to developand implement programs designed to… more
    CenterWell (08/12/25)
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  • Manager, Clinical Data Acquisition (Remote)

    Molina Healthcare (Orlando, FL)
    Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures ... on others. Identifies and recommends potential clinical measurement and quality improvement activities. + Maximizes use of...SKILLS & ABILITIES:** * 7+ years experience in managed healthcare Quality /HEDIS project management and HEDIS Audit… more
    Molina Healthcare (08/31/25)
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  • Director, Clinical Data Acquisition (HEDIS / Risk…

    Molina Healthcare (St. Petersburg, FL)
    …reporting requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. ... outreach. + Serves as operations subject matter expert and lead for Molina Plan quality improvement HEDIS operations using a defined roadmap, timeline and key… more
    Molina Healthcare (08/21/25)
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  • Medical Director

    Molina Healthcare (Tampa, FL)
    …and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement , medical utilization ... NCQA and URAC certifications. Develops and provides leadership for NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical… more
    Molina Healthcare (09/05/25)
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  • Associate Market Clinical Director

    ChenMed (Hallandale Beach, FL)
    …disease care management. + Experience working with interdisciplinary teams in quality improvement and/or medical/ healthcare leadership activities preferred. ... care delivery system. + Knowledge of clinical outcomes and quality improvement processes. + Experience of population...care in our model. We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare more
    ChenMed (08/27/25)
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  • Quality Improvement Abstractor PRN

    HCA Healthcare (Lake City, FL)
    …of each individual is recognized. Submit your application for the opportunity below: Quality Improvement Abstractor PRNHCA Florida Lake City Hospital **Benefits** ... **Description** **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members...benefits may vary by location._** We are seeking a Quality Improvement Abstractor PRN for our team… more
    HCA Healthcare (06/21/25)
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  • Lead Abstractor, HEDIS/ Quality

    Molina Healthcare (Orlando, FL)
    **Job Description** **Job Summary** Molina's Quality Improvement Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects, ... abstracted records as required by specifications. + Assists the quality improvement staff with physician and member...**E/KNOWLEDGE, SKILLS & ABILITIES:** + 5 years experience in healthcare Quality /HEDIS specific to medical record review… more
    Molina Healthcare (08/08/25)
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  • Senior Overreader, HEDIS/ Quality

    Molina Healthcare (Orlando, FL)
    **Job Description** **Job Summary** Molina's Quality Improvement Sr. Overreader conducts oversight and audits of the data collected and abstracted from medical ... **N** **C** **E/KNOWLEDGE, SKILLS & ABILITIES:** * 5 years experience in healthcare Quality /HEDIS specific to abstraction and overreading. **PR** **E** **FE**… more
    Molina Healthcare (08/21/25)
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