Clinical Quality Program Director
1 week ago
Job Summary:
We are seeking a highly skilled Clinical Quality Program Administrator to join our team at Elevance Health. As a Clinical Quality Program Administrator, you will be responsible for overseeing the quality improvement activities/projects as outlined in the Quality Improvement (QI) work plan and as required by applicable law, regulations and accreditation standards.
Key Responsibilities:
* Ensures integration of quality into the overall business process.
* Performs assessments to identify gaps in the enterprises quality and technology assessment processes and initiates actions to correct these gaps.
* Assures accuracy and completeness of input provided to internal and external QI committees and timely implementation of appropriate interventions.
* Oversees the clinical quality improvement activities/projects to implement appropriate clinical interventions to improve the quality of care for members.
* Assures compliance with corporate QI work plans.
* Assures QI activities are relevant to the targeted population.
* Assures compliance to Practice Guideline, Delegation and Continuity and Coordination of care Standards.
* Maintains documentation of research programs to meet regulatory and Accreditation Standards.
* Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of results.
* May provide oversight to the Healthcare Effectiveness Data and Information Set (HEDIS) project team.
Requirements:
* Requires a BS in health administration, nursing or related clinical field; 3 years of health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background.
* Current unrestricted license or certification in applicable field preferred (i.e. CPHQ).
* MS in the health field (i.e. Nursing) preferred.
* Florida Medicaid plan experience highly preferred.
* MCO (Managed Care Organization) experience preferred.
Work Environment:
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
Equal Employment Opportunity:
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
-
Clinical Quality Program Director
5 days ago
Miami, Florida, United States Elevance Health Full timeClinical Quality Program Administrator Job DescriptionWe are seeking a highly skilled Clinical Quality Program Administrator to join our team at Elevance Health. As a Clinical Quality Program Administrator, you will be responsible for overseeing the quality improvement activities/projects as outlined in the Quality Improvement (QI) work plan and as required...
-
Clinical Director
1 week ago
Miami, Florida, United States Lutheran Services Florida Full timeTransform Lives with Lutheran Services FloridaLutheran Services Florida (LSF) is seeking a talented Clinical Director to join our team. As a Clinical Director, you will play a critical role in directing and evaluating all assigned clinical programs and staff. Your primary responsibility will be to ensure the quality of services in all clinical programs,...
-
Director of Quality Management
4 weeks ago
Miami, Florida, United States Select Medical Full timeJob Title: Director of Quality ManagementJoin Select Medical's team as a Director of Quality Management and play a vital role in enhancing the quality, process, and cost-effectiveness of patient and customer services rendered.Job Summary:The Director of Quality Management will coordinate Medical Quality Management and Performance Improvement activities to...
-
Clinical Quality Program Consultant
2 weeks ago
Miami, Florida, United States Elevance Health Full timeAbout the RoleWe are seeking a highly skilled Clinical Quality Program Consultant to join our team at Elevance Health. As a key member of our organization, you will play a critical role in improving the quality of care for our members.Key ResponsibilitiesCo-lead state-level quality strategy meetings and develop quality plans to ensure integration of quality...
-
Clinical Director
1 month ago
Miami, Florida, United States Lutheran Services Florida Full timeTransform Lives with Lutheran Services FloridaWe are seeking a talented Clinical Director to join our team at Lutheran Services Florida (LSF). As a leader in the field of social services, LSF envisions a world where children are safe, families are strong, and communities are vibrant.About the Role:The Clinical Director will be responsible for directing and...
-
Clinical Quality Program Consultant
5 days ago
Miami, Florida, United States Elevance Health Full timeJob Summary:The Clinical Quality Program Consultant will serve as a liaison with and oversee the quality improvement activities and programs for one or more states within a major line of business.Key Responsibilities:Co-lead state level quality strategy meetings, develop a quality plan, and ensure integration of quality into the overall business process.Work...
-
Clinical Director and Faculty
5 days ago
Miami, Florida, United States Albizu University Full timeJob Title: Clinical Director and FacultyAlbizu University is seeking a qualified candidate for the dual role of Clinic Director and Full-Time Faculty at the Goodman Psychological Services Center. The clinic serves as a training facility for doctoral students in the clinical psychology program.Responsibilities:Provide leadership and administration for the...
-
Director of Quality Improvement
1 week ago
Miami, Florida, United States DOCTORS HEALTHCARE PLANS, INC. Full timeJob SummaryDoctors Healthcare Plans, Inc. is seeking a highly skilled and experienced Director of Quality Improvement to lead our Quality Improvement Program. This leadership position is responsible for the development, implementation, and oversight of quality assurance and performance improvement activities within the organization.Key ResponsibilitiesEnsure...
-
Clinical Resources Director
1 month ago
Miami, Florida, United States HCA Florida Mercy Hospital Full timeJob SummaryWe are seeking a highly skilled Clinical Resources Director to join our team at HCA Florida Mercy Hospital. As a key member of our supply chain team, you will be responsible for driving positive change through program definition and leading initiatives that support our clinical expense agenda.Key ResponsibilitiesDevelop and implement facility or...
-
Clinical Director
3 days ago
Miami, Florida, United States FYZICAL Therapy and Balance Centers Full timeJob DescriptionWe are seeking a highly skilled and motivated Clinical Director to join our team at FYZICAL Therapy and Balance Centers. As a Clinical Director, you will be responsible for leading our physical therapy department and ensuring that our patients receive the highest quality care.Key Responsibilities:Lead and manage the physical therapy...
-
Quality Assurance Director
1 week ago
Miami, Florida, United States DSJ Global Full timeQuality Assurance DirectorDSJ Global is seeking a Quality Assurance Director to lead teams, drive compliance, and formalize systematic SOP's for a well-known pharmaceuticals firm. The successful candidate will manage US manufacturing sites, personnel, and quality activities to ensure products meet industry standards.The Quality Assurance Director will:Manage...
-
Director of Quality Management
4 weeks ago
Miami, Florida, United States Select Medical Full timeJob Title: Director of Quality ManagementJoin Select Medical's team of dedicated professionals as we strive to provide exceptional care to our patients. As a Director of Quality Management, you will play a crucial role in ensuring the highest standards of quality and safety in our rehabilitation hospitals.About the Role:The Director of Quality Management...
-
Director of Quality Assurance
1 week ago
Miami, Florida, United States Summit Therapeutics Full timeJob Summary:The Director of Quality Assurance will lead the quality activities at Summit Therapeutics during clinical development and commercialization of drug candidates. This role is responsible for ensuring the quality and compliance of our products and processes.Key Responsibilities:Develop and implement GMP quality systems, including all quality...
-
Clinical Faculty Director
1 week ago
Miami, Florida, United States University of Miami Full timeJob Title: Clinical Faculty DirectorJob Summary: The University of Miami is seeking a qualified Clinical Faculty Director for its Division of Pediatric Cardiology. The ideal candidate will be at the associate professor level of the clinical educator or tenure track, have an MD/DO, be board-certified/eligible in Pediatrics and Pediatric Cardiology, and...
-
Quality Assurance Director
2 weeks ago
Miami, Florida, United States DSJ Global Full timeJob Title: Quality Assurance DirectorAbout the Role:The Quality Assurance Director will be responsible for leading the quality assurance team and ensuring that our products meet the highest industry standards for quality and reliability. This role will involve managing a team of direct reports, overseeing the development and execution of comprehensive...
-
Membership Programming Director
3 weeks ago
Miami, Florida, United States Riviera Dining Group Inc Full timeJob Title: Membership Programming DirectorWe are seeking a highly skilled and experienced Membership Programming Director to join our team at Riviera Dining Group Inc. As a key member of our luxury club, you will be responsible for developing and managing a diverse range of programs and events that cater to the needs and interests of our high-net-worth...
-
Medical Director
3 weeks ago
Miami, Florida, United States The University of Miami Health System Full timeJob SummaryWe are seeking a highly skilled and experienced Medical Director to lead our Adult Liver Transplant Program at The University of Miami Health System. The successful candidate will be responsible for overseeing the development and growth of the program, ensuring high standards of practice, and promoting quality care for liver transplant...
-
Membership Programming Director
4 days ago
Miami, Florida, United States Riviera Dining Group Full timeMembership Programming DirectorRiviera Dining Group is seeking a seasoned Membership Programming Director to develop and manage a diverse range of programs and events for our exclusive membership club. The ideal candidate will have a proven track record of creating and executing successful programs and events in the luxury lifestyle, hospitality, or private...
-
Membership Programming Director
2 weeks ago
Miami, Florida, United States Riviera Dining Group Inc Full timeMembership Programming DirectorWe are seeking a seasoned Membership Programming Director to develop and manage a diverse range of programs and events for our exclusive membership club. The ideal candidate will have a proven track record of creating and executing successful programs and events in the luxury lifestyle, hospitality, or private membership...
-
Clinical Director
2 weeks ago
Miami, Florida, United States ChenMed Full timeJob Title: Clinical Director - Aventura, FLWe're seeking a highly skilled and experienced Clinical Director to join our team at ChenMed in Aventura, FL. As a Clinical Director, you will be responsible for leading our primary care team and ensuring the delivery of high-quality patient care.Key Responsibilities:Lead and manage a team of primary care physicians...