• Director , Appeals & Grievances…

    Molina Healthcare (Orlando, FL)
    …to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight , monitoring ... and implements process improvements to achieve member/provider satisfaction or operational effectiveness/efficiencies which contribute to Molina Medicare 's… more
    Molina Healthcare (07/18/25)
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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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  • 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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  • Provider Contracts Manager

    Molina Healthcare (Orlando, FL)
    …strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core ... contracts. Issue escalations, network adequacy, Joint Operating Committees, and delegation oversight . Tighter knit proximity ongoing after contract. * In conjunction… more
    Molina Healthcare (07/17/25)
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