- Evolent (Tallahassee, FL)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a… more
- Evolent (Tallahassee, FL)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a… more
- Elevance Health (Miami, FL)
- …processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual benefit design ... within a commutable distance from an office._** The **Business Strategy Plan Director - MedEx (Medical Expense) Management ** is responsible for managing the… more
- Ascension Health (Pensacola, FL)
- …+ **Location:** Pensacola, Florida + Eligible for an annual bonus incentive As the Director of Case Management for our Acute Care Services. This role leads ... proven leadership or management experience, preferably overseeing Case Management or Utilization Review teams in an Acute Care setting. + **Certification:**… more
- Select Medical (Miami, FL)
- …with Select Medical* **Location: Miami, FL** **$20,000 Sign-on Bonus** ** Director of Quality Management ** **(DQM)** **Responsibilities** **Position Summary** ... Orthopedic Conditions + Multiple Traumas Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/333333/ director -of-quality- management inpatient-rehab/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job **Job ID**… more
- HCA Healthcare (Sun City Center, FL)
- …of experience in a healthcare environment + Previous experience in accreditation, quality, utilization management , or risk management required. + Knowledge ... today!** **Job Summary and Qualifications** We are seeking a Director of Quality Management . As our ..., you willprovide direction to ensure the facilitation and utilization of diverse strategies and communication for quality and… more
- Humana (Tallahassee, FL)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Molina Healthcare (FL)
- …**Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental ... care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management programs for… 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...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- HCA Healthcare (Coral Springs, FL)
- …to include but not limited to: Clinical initiatives that impact drug utilization , clinical education and staff development, management of appropriate drug ... We care like family! Jump-start your career as a(an) Division Director Clinical Pharmacy Services today with HealthTrust Supply Chain. **Benefits** HealthTrust… more