- 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 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… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and ... recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects or programs. Duties include… 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)
- …the Medicare Line of Business. **Additional Information** Typically reports to Lead or Corporate Medical Director , depending on size of region or line of ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- Humana (Tallahassee, FL)
- …adapt and the courage to innovate **Additional Information** Typically reports to a 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
- AdventHealth (Altamonte Springs, FL)
- …impacts of proposed operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible for ... and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, disproportionate share hospital… more
- AdventHealth (Orlando, FL)
- …Certified Fraud Examiner + Certified Financial Services Auditor **Job Summary:** The Director is responsible for completion of corporate compliance, corporate ... In addition to performing audits and investigations for AdventHealth, the Director will conduct/supervise/assist in compliance, corporate responsibility and… more
- Centene Corporation (Tallahassee, FL)
- …regulatory, state, corporate , and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician committees including ... providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families...+ Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the… more
- AdventHealth (Davenport, FL)
- …implement the Corporate Care Management strategies. The Care Management Facility Director meets regularly with the CMO to align Care Management work with ... 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
- Grifols Shared Services North America, Inc (Gainesville, FL)
- …and services in more than 110 countries and regions. The Associate Director , Value Access Marketing & Reimbursement is responsible for developing and executing ... access customer segment . Support reimbursement, coding, and coverage-related responsibilities for Medicare Part B, Centers for Medicare and Medicaid (CMS)… more
- HCA Healthcare (Tampa, FL)
- …in 21 states and the United Kingdom. We are looking for a Division Director of Regulatory and Accreditation for our HCA Healthcare team where excellence creates ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- AdventHealth (Daytona Beach, FL)
- …community you'll be caring for:** AdventHealth Dayton Beach - 301 MEMORIAL MEDICAL PKWY, Daytona Beach, 32117 **The role you'll contribute:** The Care Management ... Facility Director has full accountability and oversight for the overall...but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge… 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)
- …caring community and help us put health first** The Associate Director ; Software Renewals establishes and implements hardware and software acquisition, protection, ... procedures that are aligned with IT standards and strategy. The Associate Director ; Software Renewals requires a solid understanding of how organization capabilities… more
- Molina Healthcare (Miami, FL)
- …the state health plan. Works with direct management, senior leadership/management, Corporate , and staff to develop and implement standardized provider contracts and ... and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and… 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 (Orlando, 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
- Aveanna Healthcare (Tallahassee, FL)
- …clinical operational support activities. Essential Job Functions * Assist Administrative Director and Clinical Manager and organize front office operations. * ... ordering supplies to support clinical operations, including forms, office equipment, medical provisions, marketing materials, etc. * Assemble and submit new employee… more
- AdventHealth (Daytona Beach, FL)
- …Full Time **Shift** :Days **Location:** AdventHealth Daytona Beach - 301 MEMORIAL MEDICAL PKWY, Daytona Beach, 32117 **The role you'll contribute:** The Care ... Manager is under the general leadership of the Care Management Facility Director and has responsibility of the departmental daily operations and supervision of… more