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Remote Director of Clinical Quality & Payer Compliance
Remote / Online - Candidates ideally in
Jacksonville, Duval County, Florida, 32290, USA
Listed on 2026-07-13
Jacksonville, Duval County, Florida, 32290, USA
Listing for:
Apollo Behavior
Remote/Work from Home
position Listed on 2026-07-13
Job specializations:
-
Healthcare
Healthcare Management, Healthcare Compliance
Job Description & How to Apply Below
Apollo Behavior is seeking a Director of Clinical Quality and Compliance to serve as the payer expert on Medicaid, TRICARE, and Georgia DCH requirements. This remote role acts as final approver of treatment plans before prior authorization, reviewing about 100–130 plans per month to ensure medical necessity and compliance across payors.
You will lead a clinical quality program, monitor denials, provide staff feedback, and translate payer updates into actionable guidance for our ABA team, while
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