- Humana (Tallahassee, FL)
- **Become a part of 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...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- 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. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
- AdventHealth (Maitland, FL)
- ** Corporate Responsibility Director - AdventHealth Medical Group** **All the benefits and perks you need for you and your family:** . Benefits from Day One . ... in an ever-changing health care market. **The role you'll contribute:** The Director of Corporate Responsibility (CR) provides direction and oversight of… more
- Humana (Tallahassee, FL)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Tallahassee, FL)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Tallahassee, FL)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- Teleflex (Orlando, FL)
- …and appropriate payment levels for all products by interfacing directly with medical directors/key decision makers of Medicare , BCBS, MCO's, other commercial ... Director Market Access **Date:** May 9, 2025 **Location:**...:12186 **About Teleflex Incorporated** As a global provider of medical technologies, Teleflex is driven by our purpose to… more
- AdventHealth (Orlando, FL)
- …Maintain Advisory Board in compliance with CMS regulations . In collaboration with Medical Director , develop and implement policies and procedures related to ... outpatients each year **The role you'll contribute:** The Executive Director is responsible for the direction and management of...area (DSA) which is designated by the Centers for Medicare and Medicaid Services (CMS). The area consists of… more
- HCA Healthcare (Tallahassee, FL)
- …colleagues invested over 156,000 hours impacting our communities. As a(an) Division Director Regulatory Compliance with HCA Healthcare, you can be a manager in ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...by location._** Come join our team as a(an) Division Director Regulatory Compliance. We care for our communities and… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …**We are** **the makers of possible** BD is one of the largest global medical technology companies in the world. Advancing the world of health (TM) is our ... self. Become a **maker** **of possible** with us. **Position purpose** The National Director of Payor Strategy and Market Access and Payer Strategy, reports to the… more
- Humana (Tallahassee, FL)
- …diverse scope and complexity ranging from moderate to substantial. The Associate Director , Data Quality/Integrity will lead and manage the HEDIS Supplemental Data ... metrics, documentation, quality controls, reporting, and exceptional delivery. The Associate Director will be responsible for ensuring the team lives Humana's… more
- Aveanna Healthcare (Fort Lauderdale, FL)
- Client Relations Sales Director ApplyRefer a FriendBack Job Details Requisition #: 203738 Location: Fort Lauderdale, FL 33309 Category: Client Services Salary: ... Essential Job Functions * Market Private Duty Nursing, Therapy Services, and Medical Solutions to existing and potential referral sources to achieve established… more
- Evolent (Tallahassee, FL)
- …**What You'll Be Doing:** Seeking a detail-oriented **Clinical Rules Management, Associate Director ** who will play a critical role in ensuring the accuracy and ... Lead the evaluation of clinical processes in collaboration with other clinical corporate , division, and facility teams to facilitate process redesign and guide… more
- AdventHealth (Daytona Beach, FL)
- …outcomes of those under direct supervision + Assists Care Management Manager/Facility Director to implement the Corporate Care Management strategies + Ensures ... shifts (with weekend rotation) **Location:** AdventHealth Daytona Beach - 301 Memorial Medical Parkway, Daytona Beach, FL 32117 **The role you'll contribute:** The… more
- AdventHealth (Altamonte Springs, FL)
- …Care Management department (both Inpatient and Emergency Department settings) *Implements Corporate Care Management strategies *Collaborates with CM Director to ... Manager is under the general leadership of the Care Management Facility Director and has the responsibility of the departmental daily operations and supervision… more
- AdventHealth (Altamonte Springs, FL)
- **AdventHealth Corporate ** **All the benefits and perks you need for you and your family:** . Benefits from Day One . Career Development . Whole Person Wellbeing ... : Remote **The role you will contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of… more
- AdventHealth (Altamonte Springs, FL)
- **AdventHealth Corporate ** **All the benefits and perks you need for you and your family:** . Benefits from Day One . Career Development . Whole Person Wellbeing ... Integrity (CDI) Manager, and in some situations the supervision of the Director of Clinical Documentation Integrity, and in collaboration with physicians, nursing… more
- AdventHealth (Maitland, FL)
- …relationships and share observations and provider improvement opportunities. Collaborates with Medical Director (s) to review and provide insight regarding ... over 10 years Demonstrated ability to build and sustain relationships in the medical community and a corporate environment Payor experience in operations… more
- Molina Healthcare (FL)
- …Tighter knit proximity ongoing after contract. * In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider contracts including but not ... and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract… more
- Humana (Tallahassee, FL)
- …The IT Infrastructure Procurement Category Manager will report directly into the Director of IT Infrastructure Procurement and will lead the development of category ... of commercial protection and to minimize risk to Humana. + Drive corporate compliance to the preferred-supplier program via end-user change management and… more