- Humana (Tallahassee, FL)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
- Evolent (Tallahassee, FL)
- …of our specialty programs and administrative platform. Role Overview The Associate Director role on Client Analytics will support both internal teams (EAS, Specialty ... Data Analytics & Insights: Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover cost drivers, utilization… more
- Evolent (Tallahassee, FL)
- …the mission. Stay for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools to solve complex ... public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related… more
- Molina Healthcare (Tampa, FL)
- …activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, ... focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.… more
- Mass Markets (FL)
- …as a trusted partner in the industry. We are seeking a seasoned and driven Director of Sales to join our team. The ideal candidate will excel at building ... with less emphasis on managing existing accounts or leading a sales team. As a Director of Sales, you will play a pivotal role in driving growth and shaping the… more
- Morley (Miami, FL)
- …to take your creative career to the next level? As a remote Art Director on Morley's award-winning in-house creative team, you'll lead with vision and creativity, ... deliverables + **Experience:** + Five years as an Art Director in an agency or in-house creative environment +...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
- SIMEDHealth (Gainesville, FL)
- …physician-owned multi-specialty medical group, is seeking an experienced Accounts Receivable Director to oversee our AR operations and lead a dedicated team ... practice environment. Reporting directly to the Chief Financial Officer, the AR Director is responsible for ensuring the accuracy, efficiency, and effectiveness of… more
- NASCO (Tallahassee, FL)
- **Overview** Under general direction, the Director of Data and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance ... leadership regarding strategic direction, outcomes, staffing, and other assignments. The Director is a trusted advisor to technology and product leadership,… more
- United Therapeutics (Tallahassee, FL)
- …innovative and inspiring where you can truly make a difference. The National Director , Therapy Access will be responsible for leading the United Therapeutics (UT) ... and collaborating across multiple stakeholders + 3+ years of experience in claims reimbursement including: + Coverage, coding, billing and payment; + Working with… more
- Ryder System (Miami, FL)
- …here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary -** The Director of Insurance Accounting plans, directs and administers the ... Management . Coordinate and collaborate with actuarial specialists, captive broker and claims system vendor 1 . Conduct in-depth financial analysis to provide… more