- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Tallahassee, FL)
- …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 Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues... will collaborate with clinicians and support staff to provide Humana members with optimal value-based care in accordance… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- MyFlorida (Macclenny, FL)
- MEDICAL EXECUTIVE DIRECTOR - 60073385 Date: Oct 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 851155 Agency: Children and Families Working Title: MEDICAL EXECUTIVE DIRECTOR - 60073385 Pay Plan: SES Position Number: 60073385 Salary: $8,927.45… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
- HCA Healthcare (Sebring, FL)
- …join an organization that invests in you as a Health Information Management Director ? At HCA Florida Highlands Hospital, you come first. HCA Healthcare has committed ... to make a difference. We are looking for a dedicated Health Information Management Director like you to be a part of our team. **Job Summary and Qualifications**… more
- Cleveland Clinic (Weston, FL)
- The Medical Director /Site Director collaborates with Chairs and facility leaders to manage physicians and physician practice operations at a specific site or ... the Endocrinology, Diabetes, and Metabolism Board. Candidate must be able to obtain credentialing through Cleveland Clinic Florida as well as pass a background check… more
- Cardinal Health (Tallahassee, FL)
- …value that supports the patient throughout the continuum of care. The Interim Director of Pharmacy will provide leadership on an interim/transitional basis in ... where your license is applicable. **_Responsibilities_** + The Interim Director of Pharmacy will provide leadership on...diverse projects across the territory. + May require vendor credentialing . **_What is expected of you and others at… more
- Molina Healthcare (Jacksonville, FL)
- …activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, ... + Attends or chairs committees as required such as Credentialing , P&T and others as directed by the Chief...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge.… more
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