• Associate Director

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. ... Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary.… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Associate Director , Channel…

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    The Associate Director , Channel Analytics will be a key member of the Business Analysis team, responsible for leading marketing mix and channel analytics to ... of promotional investments across various channels (HCP, DTC, digital, non-personal promotion , etc.). + Develop and refine multi-touch attribution models and other… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • IPA Coding Associate Director

    CenterWell (Tallahassee, FL)
    …training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify ... coder errors and develop plans to address deficiencies/specific areas of focus. ** Associate Engagement and Retention:** + Develop and implement strategies to foster… more
    CenterWell (04/24/25)
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  • Medical Director - Medicaid N. Central

    Humana (Tallahassee, FL)
    …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (05/14/25)
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  • Medical Director - National Medicare

    Humana (Tallahassee, FL)
    …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (05/29/25)
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  • Medical Director - OneHome

    Humana (Tallahassee, FL)
    …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
    Humana (05/31/25)
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  • Medical Director - Care Plus - Florida

    Humana (Tallahassee, FL)
    …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (04/24/25)
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  • Divisional Director of Care Management,…

    CenterWell (Tallahassee, FL)
    …our caring community and help us put health first** The Divisional Director is responsible for building a strong partnership with clinical-operational divisional ... and coordinating care to reduce acute and post-acute care utilization. The Divisional Director role is a hybrid with travel requirements to facilitate and liaise… more
    CenterWell (05/23/25)
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  • Medical Director - Medicare Grievances…

    Humana (Tallahassee, FL)
    …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
    Humana (04/24/25)
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  • Director , Grievance and Appeals

    Humana (Tallahassee, FL)
    …experience for our associates, members and providers. As the Resolution Team Operations Director ( Director , Grievance and Appeals), you will be accountable for ... and/or other end compliant inquiries. + Has 6-7 direct reports including Associate Directors, Managers, and Senior Professionals + Provides strategic direction and… more
    Humana (05/30/25)
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  • Director , Business Performance Management

    Humana (Tallahassee, FL)
    …us put health first** Humana is seeking a strategic and experienced Director of Business Performance Management, to lead the development, implementation, and ... Operations, this role will be pivotal in ensuring operational efficiency, effectiveness, compliance , and the achievement of key business objectives. The Director more
    Humana (05/31/25)
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  • Medical Director - Medicare Grievances…

    Humana (Tallahassee, FL)
    …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents… more
    Humana (05/14/25)
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  • Director , Strategy Advancement, Risk…

    Humana (Tallahassee, FL)
    …of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning ... support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how organization… more
    Humana (05/29/25)
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  • Physical Therapist Assistant, Home Health

    CenterWell (Tallahassee, FL)
    …and contributes to department in-services. + Notify physical therapist or Executive Director of any equipment failures, lack of supplies, staff or client changes, ... with education and competence to care for patients. + Promote compliance with all fiscal intermediaries and/or other third-party payors, through education,… more
    CenterWell (03/14/25)
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  • Senior Product Marketer, Center Expansion…

    Humana (Tallahassee, FL)
    …including tactics to enhance brand visibility and event planning. Reporting to the Associate Director of Center Expansion Marketing, you will be responsible for ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (06/03/25)
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  • CIT Manager, Care Management

    CenterWell (Tallahassee, FL)
    …addresses performance and program improvement opportunities, escalating to Divisional Director as appropriate. + Collaborates with market leader/key stakeholders to ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    CenterWell (05/30/25)
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  • WT: Technology Solutions Consultant

    MyFlorida (Tallahassee, FL)
    …Commissioners who are appointed by the Governor, with Commissioners appointing an Executive Director who leads a team of nearly 200 staff members. The mission of ... and enforcement practices, particularly in the areas of licensing, compliance , and law enforcement. + Familiarity with State of...and working with law enforcement or enforcement agencies. An associate 's degree may substitute for two (2) years of… more
    MyFlorida (05/29/25)
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  • Lead DevOps Product Manager

    Humana (Tallahassee, FL)
    …Work Arrangements Available **Reporting Information** + You will report to the Director of Enterprise DevOps and Enterprise Engineering Enablement. + You will be ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (05/17/25)
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  • Insurance Strategy Lead

    Humana (Tallahassee, FL)
    …projects from concept to execution **Additional Information** This role reports to the Director of Strategy, works collaboratively with members of rest of the team, ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (05/08/25)
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