- 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. 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
- Humana (Tallahassee, FL)
- …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 problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Elevance Health (Miami, FL)
- …the afternoons. Candidates must be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the administration of physical ... ** Medical Director - Medicare (Part-time)**...gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status… more
- Humana (Tallahassee, FL)
- …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...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
- CVS Health (Tallahassee, FL)
- …We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner ... closely with the Executive Director of Aetna STARS Analytics to drive hands on...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
- 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. 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
- Humana (Tallahassee, FL)
- …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...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- 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. The ... Medical Director work assignments involve moderately complex to complex issues...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- Evolent (Tallahassee, FL)
- …business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of the Medical ... questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Tallahassee, FL)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Tallahassee, FL)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- AdventHealth (Orlando, FL)
- …care fellows and new staff along with community outreach; and program development. + The medical director would also be involved with building a core team of ... This leadership position would report directly to the Executive Medical Director of AHMG Critical Care and...a leading provider of cardiovascular and thoracic services among Medicare patients with national rankings that include:… more
- Evolent (Tallahassee, FL)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
- Evolent (Tallahassee, FL)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director you will be a key member of the utilization management team. ... recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
- CenterWell (Jacksonville, FL)
- …a part of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... (clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical… more
- Aveanna Healthcare (Boca Raton, FL)
- Facility Director (RN) - Pediatric Medical Day Care Center ApplyRefer a FriendBack Job Details Requisition #: 205208 Location: Boca Raton, FL 33427 Category: ... Nursing Salary: $75,000.00 - $85,000.00 per year Position Details Pediatric Location Director - RN (Registered Nurse) Work Location:2005 Vista Parkway, Suite 110A,… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …your best self. Become a **maker** **of possible** with us. **Position purpose** The National Director of Payor Strategy and Market Access and Payer Strategy, ... **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… more
- Gentiva (Pensacola, FL)
- …day. **Overview** The ** Medical Director ** will report directly to the National Medical Director and supervise, evaluate, and be responsible for the ... Experience demonstrated by Hospice & Palliative Medicine board certification, Hospice Medical Director Certification Board certification, or substantial practice… more
- ChenMed (St. Petersburg, FL)
- …is a transitional position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical ... The CMD may be simultaneously completing PCP Black Belt Training and Mastering the Medical Director Essentials within a combined and accelerated PCP and … 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