- Molina Healthcare (St. Petersburg, FL)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners… more
- CVS Health (Jacksonville, FL)
- …opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their ... the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director … more
- Humana (Tallahassee, FL)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Associate Director , Field Strategy, Nephrology/Immunology** **Position overview:** The **Associate Director , Field Strategy** plays a critical role in enabling ... into action. Rather than creating new tools, data, or systems , this individual **orchestrates the seamless integration and application**...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CVS Health (Tallahassee, FL)
- …health outcomes. * Leverage extensive knowledge of health care delivery system , utilization management, reimbursement methods and treatment protocols for DSNP/MMP ... delivery of cost-efficient care. Will also interact with the members, health systems , nursing facilities, as well as home and community-based networks. Make… more
- Caris Life Sciences (Tallahassee, FL)
- …than yourself, Caris is where your impact begins.** **Position Summary** The Director - Precision Medicine Initiatives is a senior sales role primarily responsible ... profiling, oncology practices, pathology practices and strong prospecting skills. The Director , Precision Medicine Initiatives will be expected to interact with… more
- Evolent (Tallahassee, FL)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools… more
- Cordis (Miami Lakes, FL)
- …us as we transform cardiovascular care. **Responsibilities** **Job Summary:** The Director of Market Access is responsible for developing and executing strategies ... identified and addressed. The position requires a strong understanding of US payer systems and provider billing processes, and the ability to translate policy and… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …skilled and experienced professional to join our organization as the Assoc. Director of Manufacturing Science and Technology (MSAT) for Upstream processes. This ... biologics manufacturing + Experience with a variety of expression systems (eg, CHO, HEK293, microbial) + Familiarity with Quality...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Evolent (Tallahassee, FL)
- …mission with a company behind it. **What You'll Be Doing:** **Associate Director , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Associate Director of Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products.… more