- Elevance Health (Miami, FL)
- ** Medical Director - Florida Medicare Plans** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... Florida near our Miami or Tampa locations.** The ** Medical Director ** will support the following ...Medical Director ** will support the following Florida Medicare plans: Simply Healthcare Plans, Healthsun… more
- Humana (Montgomery, AL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Centene Corporation (Tallahassee, FL)
- …quality accreditation standards. + Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
- Humana (Miami Lakes, FL)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll...a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties. About… more
- Bristol Myers Squibb (Tallahassee, FL)
- …Title** : NP/PA Clinical Specialist **Therapeutic Area** : Dermatology **Territory:** North Florida **Position Summary:** Currently, we are seeking a NP or PA in ... the North Florida market. This is an opportunity to join the...direct reports and report into the Regional NPPA CS Director . The Dermatology Clinical Specialist will have materials created… more
- AdventHealth (Maitland, FL)
- …day operations. + Works reports daily, maintaining established goal(s), and notifies Director , of issues preventing achievement of such goal(s). Manages the follow ... Department or related area (registration, finance, collections, customer service, medical , or contract management + Two-year of supervisory/management experience +… more
- AdventHealth (Tampa, FL)
- **Basic Function** The Fellowship Program Director , in accordance with the specific accreditation body, has responsibility and accountability for the operation of ... well-being. + Oversight of scholarly activities The Fellowship Program Director reports to the Sponsoring Institution's Chief Academic Officer/Designated… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Mount Sinai Health System is seeking a Medical Director of Physician Engagement and CDQI!** **Background:** Mount Sinai is one of the ... improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI,...all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report… more
- HCA Healthcare (Tampa, FL)
- …the regulatory and accrediting programs of The Joint Commission, (TJC), and Centers for Medicare & Medicaid Services (CMS), the Florida Agency for Health Care ... the United Kingdom. We are looking for a Division Director of Regulatory and Accreditation for our HCA Healthcare...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- CVS Health (FL)
- …resistant illnesses through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management, clinical ... oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare -Medicaid Plan) * Develop and lead clinical strategy and objectives for… more
- AdventHealth (Davenport, FL)
- …US-27, Davenport, FL 33837 **The community you'll be caring for:** AdventHealth Heart of Florida . AdventHealth Heart of Florida is a licensed 193-bed acute care ... innovative therapies, new research, leading-edge technology and an extensive team of medical specialists. . High-quality care that has been recognized by the Joint… more
- AdventHealth (Orlando, FL)
- …and relocation allowance. This practice is part of AdventHealth Medical Group (AHMG (https://www.adventhealth.com/practice/adventhealth- medical -group) ). AHMG is ... Orlando is an internationally renowned hospital that specializes in life-saving medical treatments, preventative care and pioneering research. Our healing network… more
- Mount Sinai Health System (New York, NY)
- …Description** **The Mount Sinai Health System seeks an Obstetrics and Gynecology System Medical Director for its Ambulatory Services at Mount Sinai Hospital!** ... status for nursing care, and it is the only medical center in New York State to earn Disease-Specific...a Health Care Innovation Award from the Centers for Medicare and Medicaid Services to open the first geriatric… more
- J&J Family of Companies (Santa Clara, CA)
- …to interface cross-functionally across Commercial, Market Access, Sales, Clinical, Legal, and Medical Affairs teams. The Director will play a pivotal role ... States of America, New York, New York, United States, Palm Beach Gardens, Florida , United States of America, Raynham, Massachusetts, United States of America, Santa… more
- The Cigna Group (Bloomfield, CT)
- ** Medical Principal Job Description** **Position scope:** Primarily regional with national level case work for Cigna Healthcare (CHC) -- Cigna. **Summary description ... of position** : A Medical Principal performs medical review and case...acumen experience a plus. + Fluency in Spanish (Cigna Medicare ) or other languages If you will be working… more
- AbbVie (Atlanta, GA)
- …The geography includes the following cities: + Atlanta, Georgia + Orlando, Florida + Birmingham, Alabama The Associate Director , Field Reimbursement Manager ... medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's… 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 ... 3-days per week on-site and 2-days remote.** Must live in the South Florida area.** **Purpose** **Provides financial stewardship and direction to the assigned market… more
- HCA Healthcare (Miami, FL)
- …stage in your career. We have an exciting opportunity for you to join HCA Florida Mercy Hospital which is a part of the nation's leading provider of healthcare ... services, HCA Healthcare. **Benefits** HCA Florida Mercy Hospital, offers a total rewards package that...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- AdventHealth (Davenport, FL)
- …Full Time **Shift** :Nights **The community you'll be caring for:** AdventHealth Heart of Florida AdventHealth Heart of Florida is a licensed 193-bed acute care ... innovative therapies, new research, leading-edge technology and an extensive team of medical specialists. High-quality care that has been recognized by the Joint… more
- HCA Healthcare (Aventura, FL)
- …you looking for a place to deliver excellent care patients deserve? At HCA Florida Aventura Hospital we support our colleagues in their positions. Join our Team as ... assist with every stage of your career. **Benefits** HCA Florida Aventura Hospital, offers a total rewards package that...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more