- Sedgwick (Tallahassee, FL)
- …(10) of related experience required to include one (1) to three (3) years utilization review experience and three (3) years clinical quality control. **Skills & ... Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports escalated...+ Knowledge of ADAA and FMLA + Knowledge of utilization review procedures + Knowledge of clinical… more
- TIAA (FL)
- The Divisional Director , Advisor Consultants leads and develops a team of Advisor Consultants by implementing strategies across all channels to build relationships ... growth through both virtual meeting settings and in-person engagement. The Divisional Director partners with leaders of internal teams and partner firms to best… more
- CenterWell (Jacksonville, FL)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our...of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and… more
- CenterWell (Daytona Beach, FL)
- …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... and help us put health first** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining… more
- Elevance Health (Miami, FL)
- … Director ** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/ Utilization ** ** Review ** **Virtual:** This role enables associates to ... attention, any case review decisions that require + Medical Director review or policy interpretation. **Minimum Requirements:** + Requires MD or DO and… more
- HCA Healthcare (Palm Harbor, FL)
- …This position is incentive eligible. **Job Summary and Qualifications** The Director of Employee and Occupational Health for West Florida Division ensures ... planning, and budget of the Occupational and Employee Health programs. The Director of Employee and Occupational Health facilitates change management and fosters a… 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 ... regulatory compliance, and efficient operational performance. **What You'll Do as Director :** + Provide leadership and strategic direction to ensure compliance with… more
- Elevance Health (Tampa, FL)
- …necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer ... **Clinical Operations Associate Medical Director ** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management** **Schedule: 10:30 AM-7 PM Central**… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice ... appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director … more
- CVS Health (Tallahassee, FL)
- …staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied medical ... Internal Medicine / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy implementation. You will… more