- 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 (Miami, FL)
- … Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Program Director is a key Quality Improvement (QI) leader within the organization, empowered to… more
- 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 (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
- 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 (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 (St. Petersburg, 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
- 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: ... oversight of all medical management functions, including Utilization Management, and Quality Improvement initiatives. This role ensures effective care… more
- Humana (Tallahassee, FL)
- …DSNP Encounters Data Management supports the Encounter Data Management team within the Healthcare Quality Reporting and Improvement organization (HQRI). The ... repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately complex to complex issues… more
- 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