- Evolent (Tallahassee, FL)
- …billing and various sites of care/service + Familiarity with value-based care and utilization management + Understanding of data systems and the critical ... a company behind it. **What You'll Be Doing:** **Associate Director , Performance Analytics - Oncology & Member Product Focus**...role plays a critical part in both **Medical Cost Management ** and **Product Management ** , leveraging advanced… more
- CVS Health (Tallahassee, FL)
- …Delivery System eg, Clinical Practice and Health Care Industry. *Prior UM ( Utilization Management ) experience *Active and current state medical license without ... coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a business and clinical liaison to… more
- Trinity Health (Fort Lauderdale, FL)
- …campaigns, outreach activities, and maintaining community partnerships. The role of the Director is crucial to ensuring the effective management and coordination ... Identifies, defines & solves complex problems that impact the management & direction of the business. The director...Manages financial resources for the department to achieve optimal utilization and outcomes. + Promotes high standards and holds… more
- AdventHealth (Orange City, FL)
- **Executive Director of Population Health AdventHealth PHSO Resources** **All the benefits and perks you need for you and your family:** + Benefits from Day One + ... Orange City, FL 32763 **The role you'll contribute:** The Executive Director of Population Health provides leadership, strategic direction, and operational execution… more
- Air Force Materiel Command (Eglin AFB, FL)
- …The primary purpose of this position is to serve as Executive Director in all areas of responsibility, to include providing executive leadership, direction, ... assigned to the Wing. In concert with the Commander is responsible for overall management of the Wing and oversight of assigned Groups/Wing Staff Agencies and their… more
- CVS Health (Tallahassee, FL)
- …outcomes. * Leverage extensive knowledge of health care delivery system, utilization management , reimbursement methods and treatment protocols for DSNP/MMP ... Pharmacy, Member Outreach, Care Management , National Quality Management , Utilization Management , Compliance, and...peer review and educational interventions. * Work with medical director teams focusing on inpatient care management ,… more
- BAYADA Home Health Care (Jacksonville, FL)
- …Home Health Care by BAYADA** is seeking an experienced and compassionate ** Director ** to manage operations at our **Jacksonville, FL Medicare-certified Home Health ... operations. This individual will be responsible for overseeing the day-to-day management of the agency, ensuring high-quality patient care, regulatory compliance,… more
- Humana (Tallahassee, FL)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance ... and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health...review health claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity… more
- HCA Healthcare (Englewood, FL)
- …focus on providing outstanding patient care. In this key role, the Facility Medical Director is responsible for the oversight and management of all clinical ... Healthcare Anesthesia Services is seeking an experienced, Board Certified, Facility Medical Director to lead the team HCA Florida Englewood Hospital located on the… more
- Cardinal Health (Tallahassee, FL)
- …patient care and operational performance. This position reports to the Director , Pharmacy Operations & Account Management . **Responsibilities** + Identify ... quality of care and reduce overall costs. From supply chain management solutions to expert consultative services, Cardinal Health Innovative Delivery Solutions… more