- Elevance Health (Miami, FL)
- ** Medical Director - Florida Medicare Plans** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... Florida near our Miami or Tampa locations.** The ** Medical Director ** will support the following ...Medical Director ** will support the following Florida Medicare plans: Simply Healthcare Plans, Healthsun… more
- Humana (South Miami, FL)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll...a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties. About… more
- Edwards Lifesciences (Miami, FL)
- …healthier lives. Join us and be part of our inspiring journey. The Director , Global Health Economics and Reimbursement is a field-based role responsible for working ... payment, as well as, an intermediary to payers including Center for Medicare Services (CMS) and/or Medicare Administrative Contractors (MAC), Medicaid, Veteran… more
- HCA Healthcare (Miami, FL)
- …stage in your career. We have an exciting opportunity for you to join HCA Florida Mercy Hospital which is a part of the nation's leading provider of healthcare ... services, HCA Healthcare. **Benefits** HCA Florida Mercy Hospital, offers a total rewards package that...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- University of Miami (Miami, FL)
- …when necessary + Performs other duties as assigned by the Chief and/or clinic Medical Director + Experience with Medicare Advantage (65+) patient population ... preferred + Completion of Medicare annual wellness exam documentation preferred + Knowledge of...medical center, we are proud to serve South Florida , Latin America and the Caribbean. Our physicians represent… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …evidence-based criteria guidelines within the appropriate time frame. + Notifies the Medical Director of all acute care admissions not meeting evidence-based ... for the requested level of care/patient status to the Medical Director . + Proactively identifies and resolves...accurately and in a timely manner. + Adheres to Medicare and Medicaid regulatory guidelines as it pertains to… more
- University of Miami (Miami, FL)
- …basis. 2. Maintains quality metrics records up to date. 3. Meets with QA Medical Director for final assessment of quality data, outliers and corrective actions. ... Anatomical Pathology quality metrics and reports them to the Medical Director . 12. Participates actively in ongoing...medical center, we are proud to serve South Florida , Latin America and the Caribbean. Our physicians represent… more