• Medical Director (NV)

    Molina Healthcare (Jacksonville, FL)
    …to learn new programs. Preferred Qualifications * Experience with utilization/quality program management . * Managed care experience. * Peer review experience. * ... health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
    Molina Healthcare (10/31/25)
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  • Director , Clinical Performance Oversight

    Molina Healthcare (Miami, FL)
    …in state of practice . * Deep understanding of clinical operations: utilization management , care management , etc. * Ability to provide hands-on, immersive and ... At least 8 years health care experience, including 6 years of managed care experience supporting clinical operations and clinical/quality improvement activities, or… more
    Molina Healthcare (10/26/25)
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  • Clinical Pharmacist - Collaborative…

    ChenMed (Miami, FL)
    …of primary care clinics. This role operates under a collaborative practice agreement to proactively manage medication adherence, chronic disease state control, ... metrics. The pharmacist will partner directly with physicians, advanced practice providers, nurses, and care teams to optimize medication...medication therapy on a daily basis. + Assisting the Director to provide effective and efficient use of all… more
    ChenMed (08/16/25)
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  • Medical Management Nurse

    Elevance Health (Miami, FL)
    **Medical Management Nurse** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... 5p EST for at least three weeks. The **Medical Management Nurse** will be responsible for review of the...treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not… more
    Elevance Health (10/29/25)
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  • Physician Advisor

    AdventHealth (Orlando, FL)
    …addressing areas of need. Collaborates with Senior Medical Officers with contracted managed care payers regarding utilization review management activities and ... Division CFO/Sr VP, Vice President of Revenue Cycle Operations and/or Executive Director Middle Revenue Cycle/Utilization Management . Reviews data and trends to… more
    AdventHealth (09/24/25)
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  • Chief Medical Officer

    HCA Healthcare (Bradenton, FL)
    …facility-level staff regarding delegated utilization management and disease management operations under managed care contracts. Meets all ... initiatives that support the provision of consistent clinical performance and practice standards across the hospital. The CMO provides senior-level leadership to… more
    HCA Healthcare (10/29/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Fort Lauderdale, FL)
    …staff, providers, and Division Leadership. + Provides direction and guidance to the practice management and Division Leadership teams to ensure accurate and ... as applicable. The RCOM assists the Regional Coding Operations Director with the oversight and implementation of Coding Operations...serving as a liaison between the CCU team and practice management , including the providers and division… more
    HCA Healthcare (10/24/25)
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  • Physician-Patient Aligned Care Team (PACT) Pain…

    Veterans Affairs, Veterans Health Administration (Orlando, FL)
    …Orlando VA Healthcare System (OVAHCS) is currently seeking outstanding full-time Family Practice or Internal Medicine trained physicians to join our Primary Care ... Care Team (PACT) model, to a panel of patients managed under PCMM guidelines. The incumbent is expected to...facilitate implementation of the Stepped Care Model for Pain Management (SCM-PM) and the PACT Roadmap for Managing Pain,… more
    Veterans Affairs, Veterans Health Administration (11/01/25)
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  • Sr. Vaccine Customer Rep., Fairfax, VA

    Merck (Tallahassee, FL)
    …customer, meet with key customers/personnel to maintain understanding of their current practice structure, business model, and key influencers ( Managed Care ... Leader (VKCL), Vaccine Medical Affairs Leader (VMAL), Region Medical Director (RMD) as well as other members of the...CDC and professional society recommendations. + Providing Company Vaccine management with updates on customer needs as it relates… more
    Merck (10/28/25)
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  • Pharmacy Manager

    Option Care Health (Kissimmee, FL)
    …with the policies and procedures of the Option Care, current pharmacy practice professional standards, and other regulatory entities. The Pharmacy Manager is ... supplies. The Pharmacy Manager is responsible for assisting the Operations Director meet operational and financial goals for the location. **Job Description:**… more
    Option Care Health (10/19/25)
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