- CenterWell (Tallahassee, FL)
- … Director of Physician Strategy at Utilization Management . The Medical Director conducts Utilization review of the care received by members in an ... practice management . + Utilizationmanagement experience in a medical management review organization, such as Medicare Advantage,managedMedicaid, or… more
- CBRE (Tallahassee, FL)
- Data Center Design and Engineering Team Lead - Project Management Senior Director Job ID 246110 Posted 07-Nov-2025 Service line PJM Segment Role type Full-time ... - United States of America **About the Role:** The Director of Project Management is a senior...Effectively recommends same for direct reports to next level management for review and approval. + Monitors… more
- HealthTrust Workforce Solutions (Bradenton, FL)
- …budget and resource management , cost control, contract compliance, quality improvement, utilization management , denials management and management of ... jobs nationwide. **_JOB SUMMARY_** The Interim Leader of Case Management Services is a Registered Nurse who participates as...that the following functions of the role are completed: Utilization Review for medical necessity of admission… more
- Concentrix (Tallahassee, FL)
- Home (https://jobs.concentrix.com/) "Job Details ** Director , Account Management ** Account Management ... Location United States Of America Language English Apply Now (https://cnx.wd1.myworkdayjobs.com/external\_global/job/USA-Work-at-Home/ Director --Account- Management \_R1676422-1/apply?1=1) **Summary** Director , Account … more
- Evolent (Tallahassee, FL)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent (Tallahassee, FL)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Ascension Health (Pensacola, FL)
- …two (2) years of proven leadership or management experience, preferably overseeing Case Management or Utilization Review teams in an Acute Care setting. ... Pensacola, Florida + Eligible for an annual bonus incentive As the Director of Case Management for our Acute Care Services. This role leads the strategy,… more
- Select Medical (Miami, FL)
- …with Select Medical* **Location: Miami, FL** **$20,000 Sign-on Bonus** ** Director of Quality Management ** **(DQM)** **Responsibilities** **Position Summary** ... documentation related to the hospital's CQI program. + Performs basic chart review activities with appropriate staff for outcome utilization , infection control… more
- Humana (Tallahassee, FL)
- …. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial ... operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately...with prior experience participating in teams focusing on quality management , utilization management , case … 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...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more