• System VP Utilization Management

    CommonSpirit Health (Phoenix, AZ)
    …with the Quality Assurance and Medical Affairs departments to improve clinical outcomes and patient safety. + Compliance & Regulatory Oversight: Ensure UM ... Advisor Sub-specialty Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. **Required Minimum… more
    CommonSpirit Health (11/02/25)
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  • Nurse Manager -Rhoads 7 at the Hospital of…

    Penn Medicine (Philadelphia, PA)
    …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
    Penn Medicine (12/03/25)
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  • AVP Care Coordination

    Nuvance Health (Danbury, CT)
    …for a team of utilization review staff, denials and appeals specialists, non- clinical support staff while partnering with local case management leadership. This ... investigate denied claims, prepare comprehensive appeals, and collaborate with clinical staff to ensure successful outcomes. Simultaneously, they drive the… more
    Nuvance Health (09/10/25)
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  • Consultant Analytical Engineer Expanse

    HCA Healthcare (Nashville, TN)
    …They foster data literacy across the team, contribute to enterprise-wide design and improvement initiatives, and serve as a trusted advisor in shaping ... data engineering, statistical analysis, and AI-driven insights to advance operational, clinical , and financial performance across HCA Healthcare. Positioned at the… more
    HCA Healthcare (12/06/25)
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  • Nurse Manager - Intensive Care Nursery…

    Penn Medicine (Philadelphia, PA)
    …areas of focus, including but not limited to, patient satisfaction, patient care quality , patient safety, clinical efficiency, and work environment. * Analyze ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
    Penn Medicine (11/19/25)
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  • Director TeleBehavioral Services

    Banner Health (Scottsdale, AZ)
    …Achieves financial targets. Maintains financial accountability while not losing site of clinical quality and service excellence. Meets all revenue, expense, ... compliance requirement. This position will serve as the primary advisor to the Banner Telehealth senior leadership on matters...ensuring that the care provided is of the highest clinical and service quality and provided in… more
    Banner Health (11/06/25)
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  • Manager, Client Success (Remote)

    WCG Clinical (Cary, NC)
    …**Job Type:** Full Time - Regular **Description and Requirements** **ABOUT WCG:** WCG's clinical solutions are built on a foundation of best-in-class clinical ... growth, foster compliance, and maximize efficiency for those performing clinical trials. WCG is proud to serve individuals on...to develop new products and therapies to improve the quality of human health. It is our role to… more
    WCG Clinical (12/04/25)
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  • Lead Reviewing Medical Officer (RMO)-Medical…

    STG International (Rockville, MD)
    …MEP, DOL, and PACS by collecting metrics and uses these metrics for continuous quality improvement . . Demonstrates a strong level of technical expertise in ... participates in performing privileging and peer reviews as well as continuous quality improvement assessments, particularly of the various examination types that… more
    STG International (11/26/25)
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  • Director Interventional Cardiology Services

    HCA Healthcare (Nashville, TN)
    …responsible for leading Cardiovascular clinical initiatives with a focus on quality improvement , patient safety, clinical operations and supporting ... clinical agenda. **Major Responsibilities:** *Serves as subject matter expert and clinical advisor to key facility, division, corporate partners. *Identifies… more
    HCA Healthcare (12/04/25)
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  • Human Services Program Supv I - SES

    MyFlorida (Arcadia, FL)
    …and timeliness. + The incumbent will design, develop, implement and manage the Quality Assurance/ Quality Improvement program, including assisting with the ... performance improvement initiatives and act as a Quality Improvement subject matter expert. Work with...and Bylaws Committees. Serves as primary contact and curriculum advisor for Area Education and Training Center (AHEC) for… more
    MyFlorida (11/26/25)
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