- Molina Healthcare (Miami, FL)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and ... recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects...early signs of trends or other issues related to medical care cost. + Design and perform actuarial studies… more
- Humana (Miami Lakes, FL)
- …of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll ... of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live… more
- Akumin (Miami, FL)
- Role is based in the Miami/Fort Lauderdale, FL area. Outpatient Imaging. The ** Senior ** ** Director of Operations** manages the daily operations, and planning the ... Requirements:** + High School Diploma or Equivalent Experience. + Previous medical industry experience required with outpatient imaging experience + Excel,… more
- Molina Healthcare (Miami, FL)
- …activities for the state health plan. Works with direct management, senior leadership/management, Corporate, and staff to develop and implement standardized provider ... and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and… more
- Trinity Health (Fort Lauderdale, FL)
- …with experience in working in a complex delivery system with a multi-specialty medical group and a Medicare Advantage health plan.** **_Position Highlights and ... company is not achieving its goals. Manages teams of mid-level and senior professionals. Leads or engages in multidisciplinary projects or initiatives. Assisting in… more
- CenterWell (Weston, FL)
- … medical expertise with the care team through daily huddles. . Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- University of Miami (Miami, FL)
- …basis. 2. Maintains quality metrics records up to date. 3. Meets with QA Medical Director for final assessment of quality data, outliers and corrective actions. ... Clinical Pathology and Anatomical Pathology quality metrics and reports them to the Medical Director . 12. Participates actively in ongoing and new performance… more