- Molina Healthcare (Orlando, FL)
- …* Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and manages ... the activities of the department and the process improvement process . * Assesses...efficiency, productivity, effectiveness, and accuracy. * Works with the Director of Healthcare Analysis to develop and deploy an… more
- Elevance Health (Miami, FL)
- …**Clinical Quality Program Director ** is responsible for developing a national quality improvement strategy for a major line of business. **How will you make an ... **Clinical Quality Program Director ** **Preferred Location: Florida. This position is hybrid...integrates best practices into state programs. + Develops performance improvement plans and oversees the clinical quality improvement… more
- Molina Healthcare (Tampa, FL)
- … activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, ... necessity. + Participates in and maintains the integrity of the appeals process , both internally and externally. Responsible for the investigation of adverse… more
- Health First (Rockledge, FL)
- …plans, discharge planning and/or transition of care. Collaborates with Medical Director regarding issues of medical necessity, benefit coverage and availability of ... licensed professional. Five years clinical experience. Knowledge of CPT codes, HEDIS , HIPAA, ICD-9 codes, Medicare Guidelines, and NCQA. Knowledge of Coordination… more
- ChenMed (Miami, FL)
- …and infection control products. + Supports and facilitates the Quality Improvement process through continuous development and monitoring of performance ... specialty practice, as well as Part D education for HEDIS measures. . + Represents the pharmacy department on...quality and clinical standards of care. + Assists the Director in ensuring the effective and efficient use of… more
- University of Miami (Miami, FL)
- …(https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process . To learn how to apply for a faculty or staff ... in th e collection of research data and quality improvement of patient care within the acute and outpatient...duties as assigned by the Chief and/or clinic Medical Director + Experience with Medicare Advantage (65+) patient population… more