- Molina Healthcare (Orlando, FL)
- …including clinical practice in behavioral health and at least 3 years as a medical director in a managed care setting supporting utilization management and ... programs, utilization management standardization, and cost-effective quality outcomes in a managed care environment. Contributes to overarching strategy to… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position is On-Site The Behavioral Health Nurse - Managed Care is responsible for coordinating, monitoring, and delivering behavioral health services within a ... managed care environment. This role involves working...criteria for medical necessity for the requested level of care /patient status to the Medical Director . +… more
- BayCare Health System (Tampa, FL)
- …trust, dignity, respect, responsibility and clinical excellence. Click here for Director Finance BMG & Ambulatory Care Leadership Profile ... ** Director of Finance; BayCare Medical Group and Ambulatory Care Summary:** + Plan, direct and manage all technical and financial… more
- Option Care Health (Tallahassee, FL)
- …sales teams and key supporting functions is a major focus. The Specialty Sales Director will work collaboratively with Option Care Health Operations to resolve ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...talent in healthcare. **Job Description Summary:** The Specialty Sales Director will develop and implement the Specialty business sales… more
- Humana (Tallahassee, FL)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... 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
- Humana (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 actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Tallahassee, FL)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...to a Lead Medical Director . The Medical Director conducts post-service, inpatient care reviews for… 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
- Humana (Tallahassee, FL)
- …management, or similar activities **Preferred Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or ... community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare...staff to provide Humana members with optimal value based care in accordance with Medicare and Humana policy. All… more
Recent Jobs
-
Customer Account Manager - Tooling (Remote)
- Howmet Aerospace (Torrance, CA)
-
Steel Prep Operator
- Wabtec Corporation (Hibbing, MN)