- CVS Health (Tallahassee, FL)
- …interventions. * Work with medical director teams focusing on inpatient care management , clinical coverage review, member appeals clinical review, medical ... other complex health populations to optimize risk adjustment, clinical quality, and care management . * Actively participate in meetings and communication with… more
- Evolent (Tallahassee, FL)
- …**What You'll Be Doing:** Evolent is seeking an experienced health care Director /Senior Director of Product Management to help Evolent partner with ... or a related field preferred. + At least five years of health care technology Product Management experience, ideally focused on provider-facing technology,… more
- Community Health Systems (Naples, FL)
- …Committed to high standards in patient safety and quality care The **System Director of Risk Management ** is a vital leader in promoting a safe, ... The **System Director of Risk Management ** is a...+ 3-5 years of progressive leadership in healthcare risk management (required) + 5 years of acute care… more
- Humana (Tallahassee, FL)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... work, communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient… more
- Humana (Tallahassee, FL)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... and use of business metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants… more
- Humana (Tallahassee, FL)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....business metrics. + Experience working with Case managers or Care managers on complex case management , including… more
- AdventHealth (Daytona Beach, FL)
- …The Care Management Manager is under the general leadership of the Care Management Facility Director and has responsibility of the departmental daily ... operations and supervision of team members. The Care Management Manager is responsible for, but not limited to: Coordination of Care , Centers for Medicare &… more
- AdventHealth (Tampa, FL)
- …The Care Management Manager is under the general leadership of the Care Management Facility Director and has the responsibility of the departmental ... daily operations and supervision of team members. The Care Management Manager is responsible for, but not limited to: Coordination of Care , Centers for… more
- AdventHealth (Tampa, FL)
- …The Care Management Manager is under the general leadership of the Care Management Facility Director and has the responsibility of the departmental ... daily operations and supervision of team members. The Care Management Manager is responsible for, but not limited to: Coordination of Care , Centers for… more
- AdventHealth (Sebring, FL)
- …The Care Management Manager is under the general leadership of the Care Management Facility Director and has the responsibility of the departmental ... daily operations and supervision of team members. The Care Management Manager is responsible for, but not limited to: Coordination of Care , Centers for… more