- Elevance Health (Tampa, FL)
- **Healthcare Management Services (HCMS) Director Senior ** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and ... is granted as required by law. The **Healthcare Management Services (HCMS) Director Senior ** is responsible for the development, implementation, and oversight… more
- Molina Healthcare (Orlando, FL)
- …by qualified personnel without influence from fiscal or administrative incentives, in compliance with regulatory and accreditation standards. + Analyzes regional ... procedures. + Recruits, hires, trains, mentors, and develops medical director staff and team members as needed. + Ensures...health and at least 3 years as a medical director in a managed care setting supporting utilization management… more
- HCA Healthcare (Sun City Center, FL)
- …of care in 21 states and the United Kingdom. We are looking for a Director of Quality for our HCA Florida South Shore Hospital team where excellence creates ... recent years. Do you want to be an influencer in healthcare? **Apply for our Director of Quality role today!** **Job Summary and Qualifications** We are seeking a … more
- Molina Healthcare (Orlando, FL)
- …HEDIS and quality performance management across all LOBs. Some understanding of accreditation and compliance . + Participate in Molina national and health ... **JOB DESCRIPTION** **Job Summary** Regional Director Risk & Quality Solutions is responsible for...experience is needed for positions that are focused on Accreditation , Compliance , HEDIS Interventions, Potential Quality of… more
- CenterWell (Tallahassee, FL)
- …and help us put health first** Reports To: Market Executive - Director , Area Home Health Branch Administration FLSA: Exempt **Work Schedule** : Full-time/40 ... you to sit on-site at our Stockbridge, GA branch location.** The **Branch Director ** is accountable for managing the day-to-day branch operations to ensure the… more
- CenterWell (Tallahassee, FL)
- …community and help us put health first** $10K Sign-On Bonus The Branch Director is accountable for managing the day-to-day branch operations to ensure the following: ... operational efficiencies, quality of patient care, regulatory compliance , support of business development & patient base growth, achievement of key performance… more
- Evolent (Tallahassee, FL)
- …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... overall accountability for utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** +… more
- Evolent (Tallahassee, FL)
- …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... overall accountability for utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** +… more
- Evolent (Tallahassee, FL)
- …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... accountability for utilization management while working in conjunction with the Senior Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current,… more
- Evolent (Tallahassee, FL)
- …assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical ... consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation… more