• Medical Director - Home

    Humana (Tallahassee, FL)
    **Become a 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 episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services… more
    Humana (05/03/24)
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  • Behavioral Health Medical

    Humana (Tallahassee, FL)
    …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses...quality management, utilization management, case management, discharge planning and/or home health or post acute services such… more
    Humana (04/09/24)
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  • Medical Director Florida Market

    CVS Health (Tallahassee, FL)
    …Candidates will reside in Florida and have a FL License without encumbrances. In the Medical Director role you will provide oversight for medical policy ... and consistent responses to members and providers. As a Medical Director you will focus primarily on...Health Care Industry. *Active and current Florida state medical license without encumbrances *M.D. or DO, Board Certification… more
    CVS Health (04/06/24)
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  • Medical Director , FL Market

    CVS Health (Tallahassee, FL)
    …Candidates will reside in Florida and have a FL License without encumbrances. In the Medical Director role you will provide oversight for medical policy ... and consistent responses to members and providers. As a Medical Director you will focus primarily on...Health Care Industry. *Active and current Florida state medical license without encumbrances *M.D. or DO, Board Certification… more
    CVS Health (03/10/24)
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  • Medical Director - Southeast Region

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (05/10/24)
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  • Medical Director - North Central…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... focusing on quality management, utilization management, discharge planning and/or home health or rehab. + Strategic thinking...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (04/25/24)
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  • Medical Director - Florida

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (05/17/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Tallahassee, FL)
    **Become a part of 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 ranging from moderate to substantial. The… more
    Humana (05/02/24)
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  • Medical Director - Mid West Region

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (05/21/24)
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  • Director Medical Staff Services

    HCA Healthcare (Tallahassee, FL)
    **Description** This position is incentive eligible. **Introduction** We are seeking a(an) Director Medical Staff Services with HCA Florida Capital Hospital to ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...benefits may vary by location._** We are seeking a(an) Director Medical Staff Services for our team… more
    HCA Healthcare (03/08/24)
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  • Perioperative Supply Chain Director

    Intermountain Health (Tallahassee, FL)
    …we encourage health for you and your family. Our generous package includes medical , dental, and vision coverage. But health is more than a well-working body: ... and forests, all within hours of where you'll call home . Becoming a part of the Intermountain team means...are paid out based on attainment of selected Intermountain Health Board-approved goals. As the Director of… more
    Intermountain Health (05/12/24)
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  • Director , Business Development…

    Cardinal Health (Tallahassee, FL)
    …Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty Solutions, delivers comprehensive consulting, medical marketing and ... Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
    Cardinal Health (04/11/24)
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  • Director , Actuarial Services

    Evolent Health (Tallahassee, FL)
    **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial utilizes and develops analytical tools to solve… more
    Evolent Health (05/11/24)
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  • National Director , Clinical Pharmacy-…

    CenterWell (Tallahassee, FL)
    …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
    CenterWell (04/28/24)
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  • Associate Director - Network Adequacy

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Associate Director , Network Adequacy tests the overall network in each county of ... is strong enough to support serving customers. The Associate Director , Network Adequacy generates ad hoc reports and regular...offers a variety of benefits to promote the best health and well-being of our employees and their families.… more
    Humana (04/24/24)
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  • Market CRS Director

    HCA Healthcare (Tallahassee, FL)
    …at each site. Performs on-site and off-site clinical evaluation to assist Rehab Medical Director in determining appropriateness of patient for admission. . ... Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The.... Collaborates with the CRS team, Program Directors and Medical Director (s) to maximize relationships with external… more
    HCA Healthcare (04/13/24)
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  • National Director , Transitional Care…

    CenterWell (Tallahassee, FL)
    …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** **National** ** Director of Transitional Care...appropriateness of care across settings (ie, inpatient, ambulatory, and home ). **Use your skills to make an impact** **Required… more
    CenterWell (05/03/24)
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  • Associate Director , Business Intelligence

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Associate Director , Business Intelligence for CPSS Data and Analytics will support the ... + Prior health insurance industry experience **Additional Information** **Work at Home /Remote Requirements** At minimum, a download speed of 25 Mbps and an… more
    Humana (05/02/24)
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  • Senior Director , Global Cloud Sales…

    Nutanix (Tallahassee, FL)
    NUTANIX - Senior Director , Global Cloud Economics Hungry, Humble, Honest, with Heart. About Us Nutanix is a global leader in hybrid multi-cloud solutions, making ... hybrid and multi-cloud environments. The Opportunity The Nutanix Senior Director - Worldwide Cloud Economist team is a senior...an industry best benefit package including 100% paid company health insurance as well as other very robust benefits,… more
    Nutanix (03/22/24)
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  • Contractor Workforce Management Associate…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Associate Director of Contractor Workforce Management will drive a best-in-class ... flexibility in job focus \#LI-PH1 **Additional Information** _Work at Home Guidance_ _To ensure Home or Hybrid...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
    Humana (05/22/24)
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