- 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 relies on medical background and reviews preauthorization requests for services. The ... Medical Director work assignments involve moderately complex to complex issues...be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources… more
- 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
- Sumitomo Pharma (Tallahassee, FL)
- …sales training. Senior Director CL&D responsibilities include leading a team of Director , Associate Director and Sr Manager level learning professionals ... or follow us on LinkedIn. **Job Overview** The **Senior Director , Commercial Learning & Development (CL&D)** reports to the...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… 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 ... of 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
- 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 ... authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
- CenterWell (Tallahassee, FL)
- …and help us put health first** Reports To: Market Executive - Director , Area Home Health Branch Administration FLSA: Exempt **Work Schedule** : Full-time/40 ... specific package offered will vary based on individual circumstances and company policy . **This is not a remote or work-from-home position. This position requires… more
- Florida Atlantic University (Boca Raton, FL)
- …account. Position Summary: Florida Atlantic University is seeking a Senior Director , Facilities Operations and Infrastructure - Boca Raton, FL. Reporting directly ... to the Assistant Vice President for Facilities Management, the Senior Director of Facilities Operations and Infrastructure is a senior administrative leader… more
- Humana (Tallahassee, FL)
- …with Medicare and Humana policy . All work occurs within a context of regulatory compliance and work is assisted by diverse resources, included but not limited to ... community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare...value based care in accordance with Medicare and Humana policy . **Use your skills to make an impact** **Required… 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 ... of 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