- Highmark Health (Tallahassee, FL)
- …leadership of three primary Workstreams: leadership over the execution of the Population Health Performance strategy roadmap, support physician executives to ... subject matter expert in the design and build of partnership scorecards and population health assessments. Lead anchor operations committees in conjunction with… more
- Humana (Tallahassee, FL)
- …specialists + Advanced degree such as an MBA, MHA, MPH + Exposure to Public Health , Population Health , analytics, and use of business metrics. + Experience ... part of our caring community and help us put health first** The Medical Director relies on...environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current… more
- CVS Health (Tallahassee, FL)
- …insights on the clinical drivers and trends and track data to improve the delivery of population health care and to create value for members, providers, and the ... management, reimbursement methods and treatment protocols for DSNP/MMP and other complex health populations to optimize risk adjustment, clinical quality , and… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health , SNF, DME, dual Medicare/Medicaid and Waiver requests. The...reviews of requests received by members of the Medicare population and reports to the Lead Medical Director… more
- University of Florida (Gainesville, FL)
- …clinical enterprises focus on building collaborative, specialized clinical services centered on quality and innovation. The UF Health Cancer Center is nationally ... Clinical Assistant/Associate/Full Professor and Director of the Infectious Disease Pharmacokinetics Laboratory (IDPL)...the IDPL, which include providing clinical services at UF Health as well as other sites across the US… more
- ChenMed (Hallandale Beach, FL)
- …in a managed care delivery system. + Knowledge of clinical outcomes and quality improvement processes. + Experience of population risk management or complex ... we need great people to join our team. The Associate Market Clinical Director will directly supervise, performance manage and train Clinical Directors within in… more
- Humana (Tallahassee, FL)
- …MCG, InterQual, NCCN, Micromedex, Lexicomp, Elsevier's Clinical Pharmacology + Exposure to Public Health , Population Health , analytics, and use of business ... part of our caring community and help us put health first** The Medical Director relies on...preferably including some experience related to a Medicare type population (disabled or >65 years of age) + Current… more
- MyFlorida (Tampa, FL)
- SENIOR EDUCATIONAL PROGRAM DIRECTOR -DOE - 48003246 1 Date: Aug 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... No: 859214 Agency: Department of Education Working Title: SENIOR EDUCATIONAL PROGRAM DIRECTOR -DOE - 48003246 1 Pay Plan: SES Position Number: 48003246 Salary:… more
- Highmark Health (Tallahassee, FL)
- …3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery or related areas + 4 years ... Demonstrate of the application of healthcare economic drivers and/or population health based analytics To include +...alternative reimbursement models (eg, bundled payments), and provider / health plan quality programs (eg pay for… more
- Centene Corporation (Tallahassee, FL)
- …Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. + Provides medical ... implementation of recommendations to providers that would improve utilization and health care quality . + Reviews claims involving complex, controversial,… more