- Elevance Health (Tampa, FL)
- …for processing and generating letters for services denied by the Utilization Management (UM) Medical Director within established Centers for Medicare and ... you for payment as part of consideration for employment. ** Utilization Manager Correspond Representative Sr (US)** + Job Family:...impact:** + Completes denial letters for services denied by Medical Director . + Maintains updated denial letter… more
- Elevance Health (Tampa, FL)
- …Charleston + Maine, South Portland + New Jersey, Morristown **Description** **Clinical Operations Medical Director ** ** Utilization Management of ... part of consideration for employment. ** Medical Oncology Medical Director - Utilization Review**...Medical Oncology team** is responsible for supporting the medical management staff ensuring timely and consistent… more
- AdventHealth (Riverview, FL)
- … Management Facility Director reports directly to the Division Care Management Director with a matrix reporting relationship dotted line to the Facility ... Providers and keep the CMOs updated. The Facility Care Management Director communicates regularly with the CFO...to achieve goals . Works collaboratively with leaders of Utilization Management to quickly and efficiently address… more
- VIP Care (Tampa, FL)
- Summary/Objective: The Senior Medical Director is responsible for leading efforts to develop and implement medical management and performance improvement ... and provide better health for patients. The Senior Medical Director would also leverage their entrepreneurial...more years of managed care experience + Experience in Utilization Management and Physician Improvement Programs +… more
- Elevance Health (Tampa, FL)
- … Medical Benefits Management is looking to hire a National Medical Director . This high-performing individual contributor will be responsible for serving ... ask you for payment as part of consideration for employment. **National Solution Medical Director , Vascular Surgery** + Job Family: MED > Licensed… more
- Elevance Health (Tampa, FL)
- … Medical Benefits Management is looking to hire a **National Medical Director Post Acute Care Solutions** . This high-performing individual contributor ... for payment as part of consideration for employment. **National Medical Director , Post Acute Solutions** + Job...enhances relevant clinical guidelines. + Provides clinical leadership for Utilization Management , Case Management , Disease… more
- MyFlorida (St. Petersburg, FL)
- Medical Director Date: Apr 3, 2024...for primary care, pharmacy and specialty care programs including utilization management + Oversee medical ... . Requisition No: 807851 Agency: Department of Health Working Title: Medical Director Position Number: 64051971 Salary: $126,500.00 - $197,263.09… more
- Elevance Health (Tampa, FL)
- …an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program management responsibilities including ... for payment as part of consideration for employment. **UM Medical Director - Cardiology** + Job Family:...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- Elevance Health (Tampa, FL)
- …or ask you for payment as part of consideration for employment. **Orthopedic Surgery Associate Medical Director - Sign on Bonus $7,500** + Job Family: MED > ... + West Virginia, Charleston + Oklahoma **Description** **Clinical Operations Associate Medical Director ** **General Orthopedic Surgery** Full Time **_Sign on… more
- Elevance Health (Tampa, FL)
- …check, or ask you for payment as part of consideration for employment. **Senior Medical Director , Clinical UM Operations** + Job Family: MED > Licensed ... Clinical Operations team is looking to hire a **Senior Medical Director ** to manage a team of...Preferred: -Leadership experience managing teams of physicians in a utilization management clinical operations business inside a… more
- Elevance Health (Tampa, FL)
- …cardiology and oncology. We're seeking a highly effective ** Director of Client Management ** to join our Medical Benefit Management business. You'll be ... you for payment as part of consideration for employment. ** Director of Client Management , Health Plans** +...business, especially with Payers and Clients. -Your acumen in Utilization Management products, clinical programs, pricing, and… more
- KPMG (Tampa, FL)
- **Business Title:** Director , IT Contract & Asset Management **Requisition Number:** 110991 - 27 **Function:** Business Support Services **Area of Interest:** ... are, join our team. KPMG is currently seeking a Director , IT Contract & Asset Management to...technical strategy; extensive experience in the implementation and increased utilization of ITIL and in strategic solution delivery models… more
- HCA Healthcare (Trinity, FL)
- …of experience in a healthcare environment + Previous experience in accreditation, quality, utilization management , or risk management required. + Knowledge ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...expertise! **Job Summary and Qualifications** We are seeking a Director of Quality Management . As our … more
- MetLife (Tampa, FL)
- Director - Benefit Claims and Funds Recovery City/Cities Bloomfield, Bridgewater, Cary, Omaha, Oriskany, Tampa, Warwick State(s) Connecticut, Florida, Nebraska, New ... Compliance . GOSC - MetLife offshore team . RIS Director of Risk & Controls, Director Direct...teams use standard repeatable business processes. . Translate senior management vision and assist with developing the department's vision,… more
- American Heart Association (Tampa, FL)
- …matters, and so does your career. We are currently hiring for a **Managing Director , Social Impact Fund. Location of the selected candidate is flexible provided the ... X (formerly Twitter), and at heart.jobs. **Responsibilities** The Managing Director serves as the leader of the SIF program...diligence activities, (5) peer review process, and (6) portfolio management . + Drive strategy of the Fund to improve… more
- USAA (Tampa, FL)
- …what makes us so special! The Opportunity As a dedicated Director , Competitive Intelligence leader, you will direct strategic competitive intelligence initiatives. ... of business strategies. Provide intelligence briefings to senior and enterprise management . Build and manage a skilled competitive intelligence analytical team;… more
- Fresenius Medical Center (Seminole, FL)
- …+ Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible for strong Director and physician ... communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records. + Complies with… more
- Centerwell (Tampa, FL)
- …of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + ... objectively, in consultation with the Human Resources Department and the Executive Director / Director of Operations. + Participates in the interviewing, hiring,… more
- BayCare Health System (Clearwater, FL)
- …documentation and monitors bill hold reports. Strong utilization of medical terminology and anatomy. Assists Manager/ Director with mentoring/training of ... opportunity with one of the largest employers within the Tampa Bay area. The ** Medical Records Outpatient Coder III** will work remotely on a full-time basis. This… more
- BayCare Health System (Clearwater, FL)
- …documentation and monitors bill hold reports. + Strong utilization of medical terminology and anatomy. + Assists Manager/ Director with mentoring/training of ... to 3:30 PM + **Days:** Monday through Friday The ** Medical Records Outpatient Coder III** will work remotely on...School or equivalent + Preferred Associate's in Health Information Management **Experience** + Required 5 years of Outpatient Coding… more