• Djj Operations Coordinator

    MyFlorida (Fort Pierce, FL)
    …DESCRIPTION: This position will serve as a Bureau of Monitoring and Quality Improvement Regional Monitor, assigned to assess the performance of services provided ... overseeing the work of those staff during an annual or supplemental review . Collecting and requesting information, completing work papers to ensure compliance with… more
    MyFlorida (07/10/25)
    - Related Jobs

  • Site Medical Director

    YesCare Corp (Tallahassee, FL)
    … as well as the corporate Continuous Quality and Safety Improvement program including review and action on patient complaints, infection control, peer ... + Participate in in-service training classes. Represent the healthcare program in discussions with local civic groups or visiting...in-service education of staff as requested. Participates in monthly review of quality of care and chart… more
    YesCare Corp (05/23/25)
    - Related Jobs

  • Senior Public Health Nutritionist Supv

    MyFlorida (Tampa, FL)
    …for supervising the planning, implementing and evaluating of the WIC Breastfeeding Peer Counselor Program and components of Nutrition Services such as ... overseeing WIC Outreach and Breastfeeding services and the Breastfeeding Peer Counselor Program throughout Hillsborough County. This...of our Nutrition Program and WIC Nutrition Program Plan. Review and approve menus to… more
    MyFlorida (07/24/25)
    - Related Jobs

  • Chief Medical Officer

    HCA Healthcare (Tallahassee, FL)
    …utilization, and quality profiling. Serves as a member of hospital's peer review committees as requested. Business Development and Payer Relations + ... environment of quality and cost improvement, and develops systems to review utilization of resources and objectively measure outcomes of care in the inpatient… more
    HCA Healthcare (07/27/25)
    - Related Jobs

  • Lead Analyst, IT Systems

    Molina Healthcare (Miami, FL)
    …analysts on software applications, business domain and design standards. + Conducts peer review of other analysts (internal and contract staff) to ... software engineers on multiple projects for project deliverables, assess deliverables' quality , plan, and implement corrective and preventive actions to improve… more
    Molina Healthcare (07/25/25)
    - Related Jobs

  • Field Medical Director, Oncology

    Evolent (Tallahassee, FL)
    …as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial ... reviews to be completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers,… more
    Evolent (07/24/25)
    - Related Jobs

  • Senior Director, Real

    Pfizer (Tampa, FL)
    …skills. + Demonstrated strong work ethic, and proven track record of delivering high quality results within timelines. + Able to review , evaluate, interpret, and ... Generation, Regulatory, Safety, Data Sciences & Analytics, Medical Enablement & Quality ) to design, execute, and disseminate results from studies. Example studies… more
    Pfizer (07/24/25)
    - Related Jobs

  • Field Medical Director, Cardiology

    Evolent (Tallahassee, FL)
    … Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with ... + Provides clinical rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering… more
    Evolent (07/02/25)
    - Related Jobs

  • Field Medical Director, Oncology

    Evolent (Tallahassee, FL)
    …as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. . Aids and acts as a resource to Initial ... reviews to be completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers,… more
    Evolent (05/20/25)
    - Related Jobs

  • Lead Engineer, Applications…

    Molina Healthcare (Tampa, FL)
    …program or program change is possible within existing system. + Conducts peer review of other developers (internal and contract staff) to ensure standards ... and quality . + Responsible for quality deliveries for...+ Responsible for presentations and solutions submitted to technical peer review committees. + Ownership to provide… more
    Molina Healthcare (07/17/25)
    - Related Jobs