- MyFlorida (Jacksonville, FL)
- …and work schedules, ensuring proper coverage, and complete timesheets. This senior management position oversees the multidisciplinary Division of Community ... SENIOR PUBLIC HEALTH SERVICES MGR-SES - 64084730 Date:...objectives, leadership in quality initiatives, and contributions to performance-based management systems. The role includes responsibility for achieving health… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …organized to deliver project objectives, and comply with the organization's project management framework. + Manage the delivery of research, workshops, and other ... and presenting variances with narrative at appropriate review points to ensure effective utilization . + Assign short-term work schedules to a team of subordinates in… more
- 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
- Evolent (Tallahassee, FL)
- …initiatives. **What You Will Be Doing:** + Responsible for oversight of utilization management (UM)/care management (CM) correspondence development, internal ... issues requiring resolution to maintain progress on a timely basis. + Assists senior management with development/implementation of plan operations. On a regular… more
- 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
- 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
- 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 (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 (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
- 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