- AdventHealth (Daytona Beach, FL)
- …Daytona Beach, 32117 **The role you'll contribute:** The Care Management Facility Director has full accountability and oversight for the overall operations of the ... including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social… more
- Molina Healthcare (Tampa, FL)
- …BH peer reviews and appeals * Supports BH committees for quality compliance . * Implements clinical practice guidelines and medical necessity review criteria * ... Tracks all clinical programs for BH quality compliance with NCQA and CMS * Assists with the...EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in… more
- CenterWell (Tallahassee, FL)
- …, Informatics** will be responsible for supporting Patient Safety analytics on the Medicare population. The Associate Director is expected to perform and present ... community and help us put health first** The Associate Director , Informatics coordinates with other analytics, IT and business...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Summary: The Director of Medical Management is responsible for the strategic direction, leadership, and oversight of all medical management functions, ... promotes quality healthcare delivery, manages healthcare costs, and ensures compliance with regulatory and accreditation requirements. This position is responsible… more
- SIMEDHealth (Gainesville, FL)
- …leaders to resolve credentialing, insurance, and reimbursement issues. + Maintain compliance with Medicare , Medicaid, and commercial insurance regulations. + ... physician-owned multi-specialty medical group, is seeking an experienced Accounts Receivable Director to oversee our AR operations and lead a dedicated team… more
- AbbVie (Orlando, FL)
- …+ Atlanta, Georgia + Orlando, Florida + Birmingham, Alabama The Associate Director , Field Reimbursement Manager - Immunology Gastroenterology manages and coaches a ... compliant with AbbVie expectations and ways of working. The Associate Director , Field Reimbursement Manager - Immunology Gastroenterology must effectively and… more
- Baylor Scott & White Health (Tallahassee, FL)
- **Job Summary** The Director , Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial ... management function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified… more
- CenterWell (Daytona Beach, FL)
- …and help us put health first** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals *Personally… more
- Humana (Tallahassee, FL)
- …and help us put health first** Humana is seeking a forward-thinking Associate Director for Human Resources Technology to join our HRIT leadership team. In this ... performance, data integrity, and security through rigorous governance and proactive compliance practices. + Build a best-in-class HR data and analytic platforms… more
- Aveanna Healthcare (Miami, FL)
- Home Health RN Clinical Director of Operations ApplyRefer a FriendBack Job Details Requisition #: 208380 Location: Miami, FL 33166 Category: Nursing Salary: ... branch. Additionally, this individual is responsible for initiating and maintaining compliance with all Federal and State regulations governing Home Health Care… more