• Senior Medical Director (Medicare)

    Molina Healthcare (Orlando, FL)
    …years experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review, ... cost savings and quality improvement opportunities. + Accounts for regulatory and accreditation performance of assigned team and responds to inquiries, issues and… more
    Molina Healthcare (06/13/25)
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  • Physician (Mental Health) - Associate Chief…

    Veterans Affairs, Veterans Health Administration (Miami, FL)
    …achieve goals for eligibility, referral and authorization, care coordination, and utilization management to ensure improved Veteran experience. Makes ... departments, internal and external customers, policies, and procedures. Participates in senior management business and clinical strategy development and… more
    Veterans Affairs, Veterans Health Administration (06/28/25)
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  • Chief Medical Officer

    HCA Healthcare (Gainesville, FL)
    …+ Assembles regional physician advisory panels to provide ongoing feedback to HCA senior management and serves as a liaison between committees and ... review/ management . + Consults with facility-level staff regarding delegated utilization management and disease management operations under managed… more
    HCA Healthcare (08/03/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Tallahassee, FL)
    …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to… more
    Evolent (07/30/25)
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  • Field Medical Director-Vascular Surgery

    Evolent (Tallahassee, FL)
    …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... Director you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
    Evolent (08/03/25)
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  • Field Medical Director, Cardiology

    Evolent (Tallahassee, FL)
    …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... Director you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
    Evolent (07/02/25)
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  • Field Medical Director, MSK (Spine) Surgery

    Evolent (Tallahassee, FL)
    …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... cases. you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
    Evolent (07/02/25)
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  • Director of Quality

    HCA Healthcare (Brooksville, FL)
    …+ Three-five years of experience in a healthcare environment + Previous experience in accreditation , quality, utilization management , or risk management ... efforts, and promote optimal patient outcomes. + You will work collaboratively with Senior Management to develop strategic quality initiatives. + You will lead… more
    HCA Healthcare (07/14/25)
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  • Assistant Institution Superintendent

    MyFlorida (Chattahoochee, FL)
    …or acute care hospital. + Strong knowledge of healthcare regulations and accreditation standards. + Excellent leadership and management skills. + Excellent ... of the agency. + Stay abreast of healthcare regulations, standards, and accreditation requirements, ensuring the hospital's compliance with all applicable laws and… more
    MyFlorida (07/24/25)
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  • Chief Nurse - Acute Care

    Veterans Affairs, Veterans Health Administration (Miami, FL)
    …that align with VA mission and national standards. The Chief Nurse provides senior leadership and oversight for respective clinical areas as directed by the ... standards of care, and compliance guidelines. The Chief Nurse provides senior leadership and oversight for daily clinical and administrative operations within… more
    Veterans Affairs, Veterans Health Administration (08/03/25)
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