- AdventHealth (Maitland, FL)
- …coordinating depositions, and participation in any trial or hearing. . Audits existing Managed Care agreements for payer compliance with terms, timely ... This position will be responsible for execution of the managed care payor dispute resolution processes for...dispute resolution processes. The position reports to the Executive Director of Reimbursement and Compliance . Experience in… more
- CVS Health (Tallahassee, FL)
- …convenient and affordable. Position Summary CVS Health is recruiting for an Executive Director of Managed Service Provider Governance. This role will lead the ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- MyFlorida (Tallahassee, FL)
- DIRECTOR OF COMPLIANCE & INITIATIVES - SES - 60006853 Date: Jun 4, 2024 Location: TALLAHASSEE, FL, US, 32303 The State Personnel System is an E-Verify employer. ... Requisition No: 830616 Agency: Children and Families Working Title: DIRECTOR OF COMPLIANCE & INITIATIVES - SES...evaluation, and implementation of a comprehensive statewide system of care for the prevention, treatment, and recovery of children… more
- AdventHealth (Orlando, FL)
- …Understanding of CMS Conditions of Participation for Discharge Planning Understanding of Managed Care and Value Based Programs Ability to work autonomously ... 125,000 outpatients each year **The role you'll contribute:** The Care Management Facility Director has full accountability... Care Management department, including all aspects of care coordination, care transition and compliance… more
- Humana (Tallahassee, FL)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Humana (Tallahassee, FL)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- University of Miami (Miami, FL)
- …development of healthcare professionals and ensuring the delivery of high-quality patient care . The Director of CME is responsible for maintaining accreditation ... . The Department of Medical Education has an exciting opportunity for a full-time Director , Continuing Medical Education , Continuing to work in Miami, FL. The … more
- Humana (Tallahassee, FL)
- …services such as inpatient rehabilitation. **Preferred Qualifications:** + Knowledge of the managed care industry including Medicare Advantage, Managed ... community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models.… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …(VISN), VA Medical Center (VAMC), within the Office of the Medical Center Director at Lake Baldwin OPC, 5201 Raymond Street, Orlando, Florida. This position serves ... as the Associate Medical Center Director for the VAMC. The incumbent exercises line authority...and makes necessary adjustments to improve delivery of patient care services. Establishing local policy in such areas impacting… more
- Abbott (Orlando, FL)
- …blend of customer service, procedural knowledge, technical knowledge, reimbursement knowledge, and managed care focus in order to work effectively with both ... their health and get on with their lives. The Director , Revenue Cycle Management is the overall management responsibility...medical insurance billing and collections across Medicare, Medicaid and managed care including ICD-10 and HCPC coding… more
- AmeriHealth Caritas (Orlando, FL)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... **Medical Director , UM Review, Family Medicine** Location: Orlando, FL...within 3 months of employment. 5+ yrs clinical practice. UM/ Care Coordination exp. preferred. Your career starts now. We… more
- AdventHealth (Maitland, FL)
- …development of financial plans and interpreting financial results in relationship to managed care performance and enhance physician productivity and practice ... **Executive Director of Finance AdventHealth** **All the benefits and...Seeks out financial improvement opportunities within the organizations for managed care revenue, volumes, costs, efficiency and… more
- YesCare Corp (Tallahassee, FL)
- …medicine in the state of employment + Board certified in primary care specialty (Family Practice, Internal Medicine, Emergency Medicine, Public Health or ... Occupational Medicine) with administrative experience in corrections and/or managed healthcare delivery. + Current DEA registration. Board certified, eligible, or… more
- YesCare Corp (Frostproof, FL)
- …DEA registration. + Preferable board certified or board eligible in primary care specialty (Family Practice, Internal Medicine, Emergency Medicine, Public Health or ... Occupational Medicine) with administrative experience in corrections and/or managed healthcare delivery. _A background check, security clearance and drug screening… more
- Marriott (Tallahassee, FL)
- …**JOB SUMMARY** Marriott's Technology Workplace Products team is looking for a Director , Product Management that will own, prioritize, and manage our end user ... as the matrix leader and customer interface for the product. The Director builds and leverages strong partnerships across business, technology and product leadership… more
- Evolent Health (Tallahassee, FL)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial utilizes and develops analytical tools to solve… more
- Health First (Rockledge, FL)
- …to ensure that necessary supplies are available when needed for all acute care delivery & materials, Operating Room materials, Cath Lab, Interventional Radiology and ... goals, metrics, and outcomes, to influence and gain commitment to compliance , improve operational efficiency, cost effectiveness and customer satisfaction. 2.… more
- EssilorLuxottica (Orlando, FL)
- …focusing on enhancing Optometrist satisfaction. + Maintain EyeMed, Medicare, and managed care credentialing materials, and encourage participation of sublease ... Senior Director , Field Eyecare (Remote) Date: Jun 13, 2024...that impact the business or the Doctors and ensure compliance + Lead & empower team members to enhance… more
- S&P Global (FL)
- …(for internal use):** 13 Job Description S&P Dow Jones Indices is seeking a Director , Cloud Engineering to be a key player in the Infrastructure Engineering team to ... Manage system access review + Monitor Infrastructurestructure and Cloud compliance + Maintain NVA remediation Run Book + Run...the world. With over USD 7.4 trillion in passively managed assets linked to our indices and over USD… more
- Takeda Pharmaceuticals (Tallahassee, FL)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... EU SmPC enabling the most up-to-date information and in compliance with labeling requirements to be provided to patients...labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +… more