• Director , Operational

    Molina Healthcare (Miami, FL)
    …operation process designs and establishes procedures and techniques for operational standards. Confers with customers to define and resolve ... **Knowledge/Skills/Abilities** Responsible for the oversight of regulatory compliance of Corporate Operations functions, including but not limited to performance of… more
    Molina Healthcare (07/19/25)
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  • Director , Operational

    Molina Healthcare (Tampa, FL)
    …compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and ... related field (advanced degree a plus). **Experience** * 7+ years managing Medicare CTM, appeals & grievances, or related compliance functions-hands-on with CMS CTM… more
    Molina Healthcare (07/13/25)
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  • Operational Regulatory Oversight

    Molina Healthcare (St. Petersburg, FL)
    …and regulations, contract provisions, and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
    Molina Healthcare (07/19/25)
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  • Director , Appeals & Grievances…

    Molina Healthcare (St. Petersburg, FL)
    …and implements process improvements to achieve member/provider satisfaction or operational effectiveness/efficiencies which contribute to Molina Medicare 's ... for leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible...DSNP, HIDE, FIDE, EAE, AIP, etc. * Provides direct oversight , monitoring and training of provider disputes and appeals… more
    Molina Healthcare (07/20/25)
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  • Central Florida Division Director

    AdventHealth (Orlando, FL)
    …**The value you'll bring to the team:** . Scope of Responsibility: * Direct operational responsibility for the oversight and evaluation of clinical outcomes and ... inpatients and 125,000 outpatients each year **The role you'll contribute:** The Director of Clinical Outcomes is a registered professional nurse with comprehensive… more
    AdventHealth (07/19/25)
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  • Associate Director , Regulatory Intake…

    Humana (Tallahassee, FL)
    …our caring community and help us put health first** The Associate Director , Compliance ensures compliance with governmental requirements. The Associate Director , ... required to work in either Central or Eastern Time. Associate Director , Regulatory Intake Compliance is responsible for enterprise-wide regulatory monitoring,… more
    Humana (07/30/25)
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  • PPEC Facility Director (RN)

    Aveanna Healthcare (West Palm Beach, FL)
    PPEC Facility Director (RN) ApplyRefer a FriendBack Job Details Requisition #: 205803 Location: West Palm Beach, FL 33401 Category: Nursing Salary: $75,000.00 - ... $85,000.00 per year Position Details PPEC Pediatric Location Director - RN (Registered Nurse) Work Location:2005 Vista Parkway, Suite 110A, West Palm Beach, FL 33411… more
    Aveanna Healthcare (06/18/25)
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  • Program Director , Quality Improvement…

    Molina Healthcare (FL)
    …expert and leads programs to meet critical Quality needs. + Manages QI programs with oversight from the Director , AVP and VP as needed. + Collaborates and ... + 2 years Medicare experience + 3 years management experience + Operational knowledge and experience with Excel and Visio (flow chart equivalent). + Proficiency… more
    Molina Healthcare (08/02/25)
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  • Supervisor, Clinical Pharmacy/MTM - Remote

    Molina Healthcare (Orlando, FL)
    …in collaboration with the Manager or Director . * Keeps Manager or Director apprised of operational issues, including staffing resources, program and system ... drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics with regard to patient… more
    Molina Healthcare (07/09/25)
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  • APP, Supervisor - General Internal Medicine - Full…

    University of Miami (Miami, FL)
    …+ Performs other duties as assigned by the Chief and/or clinic Medical Director + Experience with Medicare Advantage (65+) patient population preferred + ... and/or physician delegate, the Supervisor will be responsible for oversight of healthcare delivery provided by General Internal Medicine...Completion of Medicare annual wellness exam documentation preferred + Knowledge of… more
    University of Miami (06/16/25)
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