- WTW (Tampa, FL)
- …+ 10+ years' experience in clinical strategy, pharmacy benefit management, analytics , growth and consulting + Deep understanding of the pharmacy benefit ... management and US healthcare ecosystems, either at a PBM, health plan, health tech company or as a benefits consultant + A dynamic, strategic thinker not afraid to… more
- NASCO (Tallahassee, FL)
- …data architectures for SaaS products and platform models + Familiarity with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics ... **Overview** Under general direction, the Director of Data and AI Architecture will drive...and AI architecture to enhance our industry leading SaaS healthcare payer products and corporate data management products. This… more
- Humana (Tallahassee, FL)
- …on various behavioral health topics to the clinical operations team and healthcare organization. The Medical Director 's work includes computer based review ... community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral… more
- University of Miami (Miami, FL)
- …Department of SCCC Operations has an exciting opportunity for a Full Time Executive Director , Clinical Operations to work at the UHealth medical campus in Miami, FL. ... CORE JOB SUMMARYThe Executive Director , Clinical Operations assumes responsibility for the direction and...projects, and ensure successful project delivery. + Technology & Analytics : Understanding of technology, data analytics , and… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... must be able to start with 30-60 days of hire. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...Clinical Pharmacology + Exposure to Public Health, Population Health, analytics , and use of business metrics + Curiosity to… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Director , Financial Planning & Analysis analyzes and forecasts financial, economic, and other data ... accurate and timely information for strategic and operational decisions. The Director , Financial Planning & Analysis requires an in-depth understanding of how… more
- Mayo Clinic (Jacksonville, FL)
- …Florida is seeking an experienced Sleep Medicine physician to serve as Medical Director of the Sleep Center and deliver world class care to complex sleep ... an ability to inspire teams and drive transformational change. The Director must provide exceptional patient care in a multidisciplinary setting, contribute… more
- Humana (Tallahassee, FL)
- …capitation rate review, drafting rate advocacy communications, actual-to-expected business analytics , forecasting market-specific financial results, and many ad hoc ... a significant financial impact on the business. They will work closely with the Director to ensure key workstreams are meeting timelines and that work is properly… more