- CVS Health (Tallahassee, FL)
- …through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management, clinical coverage review, member ... appeals clinical review, medical claim review, and provider appeals clinical review. * Actively...Florida and others as needed. Florida Location and Florida License is REQUIRED. * Active Unrestricted Board Certification in… more
- Aveanna Healthcare (Miami, FL)
- Home Health RN Executive Director of Operations ApplyRefer a FriendBack Job Details Requisition #: 207426 Location: Miami, FL 33166 Category: Nursing Salary: ... if internal billing and collection efforts to generate clean claims * Perform other duties as assigned Benefits Offerings:...results within parameters of Aveanna policy. * Valid Driver's License and Acceptable MVR * 2-3 yeas of leadership,… more
- AdventHealth (Zephyrhills, FL)
- …culture and music + Premium shopping outlets **The role you'll contribute:** The Director of Risk Management develops and administers the Risk Management Program for ... loss prevention and claims control (according to federal, state, and local requirements)...an accredited Risk Management course/program. Current Florida Risk Management license . This facility is an equal opportunity employer and… more
- AdventHealth (Tampa, FL)
- …Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance related to inpatient care, outpatient ... years of experience in hospital medicine in acute care setting Current and valid license as a physician Board certified and eligible for membership on the Hospital… more
- Molina Healthcare (Tampa, FL)
- …with AI Data Integration._** + **_Experience with Member, Enrollment, and Claims applications -_** **which underpin essential business functions such as HEDIS ... **_Azure Databricks._** + **_Python._** + **_Spark._** + **_QNXT._** **Preferred License , Certification, Association** Microsoft Technology, Mobility, ITIL To all… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …approved by their supervisor, service chief and (for trainees) the Psychology Training Director or Associate Training Director . Serves as a consultant to other ... is required via government vehicle so a valid driver's license is required for this position.** Work Schedule: Monday...programs were sanctioned by the VHA Central Office Program Director for Psychology and the VHA Office of Academic… more
- MyFlorida (Miami, FL)
- …Work You Will Do: Construction Project Administrator II - District Six / Director of Operations - District Construction - South Miami-Dade Construction This position ... modifications, The role will also handle public concerns, review claims , recommend project acceptance, and work with FHWA on...instructor-led courses. Where You Will Work: District Six - Director of Operations 1000 NW 111 Ave, Miami, Fl,… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1,000 per year ... to the Chief, Radiation Oncology Service, Chief of Staff, and Medical Center Director . Functions locally as a team member of the Radiation Oncology Service with… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …that role, also currently performs the duties and responsibilities of the Medical Director of the Acute Inpatient Psychiatry Unit (3C). The 3C Medical Director ... be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1,000 per year ... listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired… more