• Clinical Documentation and Claims Integrity…

    Elevance Health (Tampa, FL)
    ** Clinical Documentation and Claims Integrity Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... of life through home-care and community based services. The ** Clinical Document Improvement Director ** is responsible for...strongly preferred. + KPI work experience in synthesizing large data sets/ interpreting KPIs to inform clinical more
    Elevance Health (08/14/25)
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  • Sr Director Clinical Strategy…

    Prime Therapeutics (Tallahassee, FL)
    …our passion and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job ... Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions...+ Strong analytical skills with the ability to leverage data to drive clinical and financial outcomes… more
    Prime Therapeutics (07/01/25)
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  • Medical Director , Clinical Services

    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 ... or Public Health **EXPERIENCE** **Required** + 5 years in Clinical , Direct Patient care (hospital, outpatient, or private practice) **Preferred**… more
    Highmark Health (07/29/25)
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  • Medical Director - Florida

    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 (07/29/25)
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  • Behavioral Health Medical Director

    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
    Humana (08/09/25)
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  • Assistant Professor, Medicine, General Internal…

    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
    University of Miami (08/23/25)
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  • Medical Director

    Elevance Health (FL)
    …staff including Medical Director Associates. May be responsible for an entire clinical program. **How will you make an impact:** + Supports clinicians to ensure ... responsible for an entire clinical program and/or independently performs clinical reviews. The Medical Director typically has program management… more
    Elevance Health (08/30/25)
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  • Medical Director

    Elevance Health (Miami, FL)
    …staff including Medical Director Associates. May be responsible for an entire clinical program. **How you will make an Impact:** + Supports clinicians to ensure ... be responsible for an entire clinical program and/or independently perform clinical reviews. + The Medical Director typically has program management… more
    Elevance Health (08/13/25)
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  • Field Director , Medical Science Liaison…

    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
    Grifols Shared Services North America, Inc (07/24/25)
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  • Medical Director -Internal Medicine…

    Elevance Health (Miami, FL)
    …staff including Medical Director Associates. May be responsible for an entire clinical program. **How you will make an impact:** + Complete appeal reviews in ... **Medical Director -Internal Medicine or Family Medicine Appeals** **Location:** This...programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor… more
    Elevance Health (08/21/25)
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