- Highmark Health (Tallahassee, FL)
- …are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical ... the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In… more
- 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 ... involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director … more
- Humana (Tallahassee, FL)
- …to the clinical operations team and healthcare organization. The Medical Director 's work includes computer based review of moderately complex to complex ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **Become… more
- University of Miami (Miami, FL)
- …Medicine, Cancer Survivorship has an exciting opportunity for an Assistant Professor of Clinical (Medical Director ). The Medical Director is appointed by ... and Clinics/ Sylvester Comprehensive Cancer Center for the respective discipline. The Medical Director shall be a member of the active Medical Staff and shall be… more
- Datavant (Tallahassee, FL)
- …team of product managers and product designers and collaborate deeply with data science, clinical experts, engineering, and commercial teams to accelerate ... care management platforms, and third party integrations. + Balance innovation with compliance , audit defensibility, and clinical integrity across all product… more
- Grifols Shared Services North America, Inc (Sarasota, FL)
- …more than 110 countries and regions. The primary responsibility of the MSL Field Director is the management, performance, and coaching of a team of MSL direct ... (MSL primary call points include Immunology, Neurology, Hematology/Oncology). The Field Director ensures compliant execution of field medical plans, strategy, and… more
- 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 ... involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director … more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical data integrity. The leader will be responsible for providing a ... Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team.... Integrity:** Ensure the accuracy, consistency, and reliability of clinical and PV data through robust Quality… more
- Sumitomo Pharma (Tallahassee, FL)
- …+ Contributes to medical safety of clinical trials, including monitoring of clinical trial safety and laboratory data . + Generates safety queries, evaluates ... highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM… more
- HCA Healthcare (Tampa, FL)
- …the overall responsibility for managing and coordinating department activities. The Director ensures staff compliance with organizational policies and external ... hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization. The Director has oversight for all aspects of… more