- Prime Therapeutics (Tallahassee, FL)
- …design and implementation of innovative drug solutions, including optimizing drug utilization , patient outcomes, and cost-effectiveness through value-based care ... we make. **Job Posting Title** Clinical Solutions Strategy Senior Director - Remote **Job Description** The Clinical Solutions Strategy...years of work experience within medical and pharmacy drug management within a PBM or managed care … more
- Humana (Tallahassee, FL)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance ... our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The… more
- Sedgwick (Tampa, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director Data Tools, Governance and Architecture **PRIMARY PURPOSE OF THE ROLE:** This ... approaches with the overall enterprise architecture and minimize costs. The Tech Director will collaborate closely with the Enterprise Architecture , Security , DBA… more
- Prime Therapeutics (Tallahassee, FL)
- …fuels our passion and drives every decision we make. **Job Posting Title** Sr. Director Actuarial Forecasting - REMOTE **Job Description** The Senior Director of ... complex actuarial modeling + Collaborates with underwriters, client engagement, and senior management on RFP process and other pricing initiatives related to all… more
- J&J Family of Companies (Jacksonville, FL)
- …combine cutting-edge insights, science, technology, and people to encourage eye care professionals and patients to proactively protect, correct and enhance healthy ... **We are searching for the best talent for the position of Director of Operational Excellence in Jacksonville, FL!** **Purpose:** The Director … more
- MyFlorida (Orlando, FL)
- FOOD SERVICE DIRECTOR II - SES - 80082826 Date: Aug 22, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 859384 Agency: Juvenile Justice Working Title: FOOD SERVICE DIRECTOR II - SES - 80082826 Pay Plan: SES...in lodging and dining facility. Plans menus and food utilization based on anticipated number of guests, nutritional value,… more
- Molina Healthcare (Orlando, FL)
- …experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review, ... performance of prior authorization, inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that… more
- Highmark Health (Tallahassee, FL)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member...management process are consistent with community standards of care . + Participate as a member of the CMDM… more
- University of Miami (Miami, FL)
- …Department of Surgery has an exciting opportunity for a full time Director , Laboratory Services position. The incumbent directs and manages the overall operation, ... have the capability of providing the quality of results required for patient care . + Ensures the establishment and maintenance of acceptable levels of analytical… more
- MTC (Graceville, FL)
- …Correctional** **Facility in Graceville, FL** and provide expert mental health care to those who need it most. **Position Summary:** Reports administratively ... Medical, Florida Department of Corrections (FDOC) and Florida Department of Management Services (DMS) directives. **Essential Functions:** 1. Support and assist… more