- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… 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 actively uses their medical background, experience, and judgement to make… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
- CenterWell (Clearwater, FL)
- …of our caring community and help us put health first** The **Branch Director ** is accountable for managing the day-to-day branch operations to ensure the following: ... operational efficiencies, quality of patient care, regulatory compliance , support of business development & patient base growth, achievement of key performance… 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...policy. All work occurs within a context of regulatory compliance and work is assisted by diverse resources, included… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical ... Director works on problems of diverse scope and complexity...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Exercises… more
- CenterWell (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety of medical records and ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Director , Medical Coding requires an in-depth understanding of how organization capabilities… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The R-396181 Director Finance, Florida Comprehensive Medicaid (Florida Medicaid Market CFO) analyzes and ... and timely information for strategic and operational decisions. The R-396181 Director Finance, Florida Comprehensive Medicaid (Florida Medicaid Market CFO) requires… more
- Florida Atlantic University (Boca Raton, FL)
- …leadership team as Assistant Dean for Clinical Curriculum, reporting to the Associate Dean for Medical Education and the Department Chair as applicable. This ... Years 1 and 2, serving as Year 3 Curriculum Director , and oversight of the Year 4 curriculum in...predominantly applicable to clinical curriculum as determined by the Associate Dean for Medical Education.* Collaborate with the Assistant… more
- MyFlorida (Tallahassee, FL)
- …annual equity reporting by organizing data, updating templates, and supporting the Deputy Director of Equity and Civil Rights Compliance and the Director ... Description This position functions under the direction of the Associate Vice Chancellor and assists with tasks related to...equity on-site or virtual site visits with the Deputy Director of Equity and Civil Rights Compliance … more