• Director, Operational Oversight (Medicare/Duals)…

    Molina Healthcare (St. Petersburg, FL)
    …delegated vendors must follow, and you keep complaint data synchronized across appeals & grievances, enrollment, claims, pharmacy, and quality functions. You surface ... gains, audit readiness, and measurable member-experience improvements. You'll begin as a senior individual contributor with the charter to build a focused CTM… more
    Molina Healthcare (08/19/25)
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  • Medical Director - Dsnp/MMP

    CVS Health (Tallahassee, FL)
    …solutions. Good with data interpretation. * Effectively communicate these finding to Senior Management and staff at all levels. * Develop and deliver conference ... UM and participate in UM front line work and appeals in markets as needed. * Confer directly with...focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review, and provider … more
    CVS Health (07/18/25)
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  • Chief Medical Officer

    HCA Healthcare (Gainesville, FL)
    …performance and practice standards across the hospital. The CMO provides senior -level leadership to the infection control, risk management, safety, and medical ... Assembles regional physician advisory panels to provide ongoing feedback to HCA senior management and serves as a liaison between committees and facility/corporate… more
    HCA Healthcare (08/03/25)
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  • Eminent Domain Attorney

    NextEra Energy (Juno Beach, FL)
    …in eminent domain proceedings, including pre-condemnation planning, hearings, and appeals across multiple jurisdictions + Oversee inverse condemnation claims and ... property damage disputes + Manage appeals and complex valuation challenges in state and federal...* Ensures disclosure of potentially material legal issues to senior leadership * Performs other job-related duties as assigned… more
    NextEra Energy (08/23/25)
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  • Citizen Services Operations Manager

    MyFlorida (Tallahassee, FL)
    …the community and citizens of Florida, including in areas of criminal appeals , civil litigation, consumer protection, Medicaid fraud, and victims and civil rights. ... Hotline during declared states of emergency. This position supervises Citizen Services' Senior Clerks. Specific Duties: As a supervisor, this position spends the… more
    MyFlorida (08/22/25)
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  • Sr Tax Planning Manager

    NextEra Energy (Juno Beach, FL)
    …our innovative, world-class team today! **Position Specific Description** We are seeking a Senior Tax Planning Manager, Tax Controversy to become a member of our Tax ... SMEs and communicate tax positions to tax authorities and senior tax leadership + Self-motivated with excellent project management,...software + Experience with US and state income tax appeals process and tax litigation a plus + Energy… more
    NextEra Energy (07/15/25)
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  • Field Medical Director - Vascular Surgery

    Evolent (Tallahassee, FL)
    …of the request. + Provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (08/28/25)
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  • Electronic CAD Designer

    Draper (St. Petersburg, FL)
    …and associated documentation. * Works with moderate to minimal oversight from senior technical personnel. * Regularly provides feedback on the effectiveness of ... engineers with constraint editing and entry. * Regularly works with multiple senior technical staff members on design projects. * Requests management assistance when… more
    Draper (08/25/25)
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  • Field Medical Director, Pain Management

    Evolent (Tallahassee, FL)
    …(NCQA) guidelines. + Provides clinical rationale for standard and expedited appeals . + Ensures documentation of all communications with medical office staff ... overall accountability for utilization management while working in conjunction with the Senior Medical Director. May assist the Senior Medical Director in… more
    Evolent (08/20/25)
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  • Field Medical Director, Cardiology

    Evolent (Tallahassee, FL)
    …subject matter expert. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (08/15/25)
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