- Humana (Tallahassee, FL)
- …services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care ...medical management review organization, such as Medicare Advantage and managed Medicaid + Experience with national guidelines such as… more
- Humana (Tallahassee, FL)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with external… more
- Humana (Tallahassee, FL)
- …adapt and the courage to innovate. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid. ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- CenterWell (Tallahassee, FL)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical … more
- Cardinal Health (Tallahassee, FL)
- …covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with ... and products company headquartered in Dublin, OH. The _National Director of Sales, Market Access_ serves as the dynamic...seasoned expertise in the managed care industry, this leader translates the… more
- Option Care Health (Tallahassee, FL)
- …IG to include clinical, market, and payer dynamics + Knowledge of reimbursement, managed care , and marketing **Basic Qualifications** + Proven record of ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...brightest talent in healthcare. **Job Description Summary:** The National Director IG Business Development role will be responsible for… more
- Humana (Tallahassee, FL)
- …on average) Eastern Time Zone hours** **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Cardinal Health (Tallahassee, FL)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing ... contract lifecycle. + Serve as the external subject matter expert on managed care , value-based payment methodologies, and population health trends, leveraging… more
- Prime Therapeutics (Tallahassee, FL)
- …is located + 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a ... of pharmacy with us. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account ...clinical and/or managed care setting Must be eligible to… more
- CVS Health (Tallahassee, FL)
- …training in a medical specialty). * Three 3+ years of experience in the managed care industry. * Experience in leading interdisciplinary teams. * Solid ... peer review and educational interventions. * Work with medical director teams focusing on inpatient care management,...understanding of and concurrence with evidence-based medicine (EBM) and managed care principles. * Ability to travel… more