- Elevance Health (Tampa, FL)
- **Clinical Operations Medical Director ** ** Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management ** **$20,000 Sign ... set of clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director supporting our Medical Oncology team** is… 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 Solution Medical Director for Post Acute Care Solutions** . This high-performing individual ... will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions...enhances relevant clinical guidelines. + Provides clinical leadership for Utilization Management , Case Management , Disease… 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 ... health of the people we serve, influencing product strategy and design and medical management approaches that impact healthcare quality, cost, and outcomes, and… more
- Elevance Health (Tampa, FL)
- …an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program management responsibilities including ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- Elevance Health (Tampa, FL)
- …an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program management responsibilities including ... appeals reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral… more
- Elevance Health (Tampa, FL)
- …Operations Associate Medical Director ** **Neurosurgery** **Carelon Insights/Carelon Medical Benefits Management ** _A proud member of the Elevance Health ... including radiology, cardiology and oncology._ The **Clinical Operations Associate Medical Director of Neurosurgery** responsible for performing… more
- Elevance Health (Tampa, FL)
- …Benefits Management Clinical Operations team is looking to hire a **Senior Medical Director ** to manage a team of physicians performing clinical coverage and ... for our Musculoskeletal (MSK) Solution. (internal title: Manager Clinical Operations Medical Director ) Responsible for providing day-to-day guidance, support,… 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
- Elevance Health (Tampa, FL)
- …Health location. Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and implementing ... clinical programs with specific medical condition focus for all lines of business enterprise...This role will work on Cost of Care, trend management , value-based care support for STARS/HEDIS and correct coding… 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
- Pfizer (Tampa, FL)
- …experts and visionary practitioners. The Media Data Strategy, Tagging, & Enablement Director is a key member of this exceptional team, responsible for defining, ... media data use cases for the strategic ROI Product Management Counsel, inclusive of data mapping & strategy designed...improve performance & translate ROI inputs to media strategy utilization + Steward the media and site data dictionary,… more
- HCA Healthcare (Largo, FL)
- …in-service programs to facility medical staff regarding clinical resource management , appropriate documents standards, utilization and quality issues, and ... program development, and overall hospital strategy + You will provide medical director services to facility-level physician credentialing, business development,… 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
- Fresenius Medical Center (St. Petersburg, FL)
- …leadership position focusing on strategic initiatives, daily operations, and tactical management . Manages functions including training and personnel management . ... and maintains customer service policies and procedures, and ensures the utilization of communications technology. Interacts with all levels of client representatives… 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
- VIP Care (Tampa, FL)
- …research and investigative skills to assist medical offices with admission management , utilization management and preventative care outreach to high ... a market of affiliate providers in partnership with the Director of Provider Operations + Oversee and manage the...Team Resources + Maintain relationships with the designated market medical office teams + Lead and facilitate team building… more