• Medicare Medical Director

    Elevance Health (Tampa, FL)
    ** Medicare Medical Director - Part time** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, ... Candidates must be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the administration of physical and/or… more
    Elevance Health (05/17/25)
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  • Medical Director ( Medicare )

    Molina Healthcare (Tampa, FL)
    …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
    Molina Healthcare (05/02/25)
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  • Medical Director Specialty…

    Molina Healthcare (Tampa, FL)
    **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
    Molina Healthcare (04/09/25)
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  • Medical Director , Behavioral Health

    Molina Healthcare (Tampa, FL)
    …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... State Medical License, free of sanctions from Medicaid or Medicare . **Preferred Experience** * Peer Review, medical policy/procedure development, provider… more
    Molina Healthcare (04/26/25)
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  • RN Clinical Director

    Aveanna Healthcare (Tampa, FL)
    RN Clinical Director ApplyRefer a FriendBack Job Details Requisition #: 204579 Location: Tampa, FL 33607 Category: Nursing Salary: $78,000.00 - $82,000.00 per year ... Position Details Position: Clinical Director (RN) ( Director of Nursing) Join a...children, adolescents, and/or adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with… more
    Aveanna Healthcare (05/06/25)
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  • Associate Center Clinical Director

    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 ... organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a...simultaneously completing PCP Black Belt Training and Mastering the Medical Director Essentials within a combined and… more
    ChenMed (05/09/25)
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  • Critical Care Fellowship Program Director

    AdventHealth (Tampa, FL)
    **Basic Function** The Fellowship Program Director , in accordance with the specific accreditation body, has responsibility and accountability for the operation of ... well-being. + Oversight of scholarly activities The Fellowship Program Director reports to the Sponsoring Institution's Chief Academic Officer/Designated… more
    AdventHealth (05/07/25)
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  • Director , Appeals & Grievances (Texas)

    Molina Healthcare (Tampa, FL)
    …with the standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the ... to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and… more
    Molina Healthcare (05/14/25)
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  • Executive Director of Quality

    AdventHealth (Tampa, FL)
    …six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come . Awarded the Get With The Guidelines ... as a Primary Stroke Center. **The role you'll contribute:** The Executive Director will be responsible for: . Leading, planning, directing and coordinating the… more
    AdventHealth (04/30/25)
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  • Senior Director , Operations - Personal…

    Akumin (Tampa, FL)
    Role is based in Florida. The **Senior** ** Director of Operations** manages the daily operations, and planning the use of materials and human resources. Provide ... Requirements:** + High School Diploma or Equivalent Experience + Previous medical industry experience required. + Excel, PowerPoint, Word and Outlook skills… more
    Akumin (03/19/25)
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  • Regional Director , Quality Solutions…

    Molina Healthcare (Tampa, FL)
    …ideally suited for candidates living in the Eastern Time Zone. Regional Director Quality Solutions (QS) is responsible for contributing to the strategic performance ... + Serves as the subject matter expert for all, Medicaid / Medicare / Marketplace quality, and data acquisition functions to ensure participants understands… more
    Molina Healthcare (04/30/25)
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  • Primary Care Physician bilingual Spanish/English

    CenterWell (Tampa, FL)
    medical expertise with the care team through daily huddles. . Helps regional medical director and center administrator in setting a tone of cooperation in ... doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators… more
    CenterWell (05/17/25)
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  • Healthcare Growth Consultant

    ChenMed (Lakeland, FL)
    …housing managers, senior centers and related community providers to keep ChenMed/JenCare Medical Centers as their top provider choice for senior healthcare when ... handle additional sustained monthly production, developing better working relationships with Center Director , Director of Growth and other market leaders and… more
    ChenMed (03/28/25)
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  • Clinical Manager Home Health

    CenterWell (Tampa, FL)
    …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more
    CenterWell (05/16/25)
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  • Cell Therapy Market Access Manager - Southeast

    Bristol Myers Squibb (Tampa, FL)
    …bill therapy reimbursement experience including: + Coverage, coding, billing and payment + Medicare (NCD, IPPS, OPPS, 340B, etc.) + Medical policy, managed care ... within the assigned territory. The CMAM will report into the East Region Director , Cell Therapy Market Access Managers. The individual is required to achieve all… more
    Bristol Myers Squibb (05/07/25)
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  • Inpatient Coding Auditor Virtual

    AdventHealth (Tampa, FL)
    …six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come .Awarded the Get With The Guidelines - ... coding accuracy retrospectively and concurrently as assigned by manager and/or Director . . Reviews and addresses all third party/Regulatory Agencies requests for… more
    AdventHealth (05/09/25)
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