- CVS Health (Tallahassee, FL)
- …through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management , clinical coverage review ... * Leverage extensive knowledge of health care delivery system, utilization management , reimbursement methods and treatment protocols..., member appeals clinical review , medical claim review , and provider appeals clinical review . *… more
- Florida Atlantic University (Boca Raton, FL)
- …Prepare and submit required reports and documentation in collaboration with the Senior Director . Budget and Resource Management + Support the Facilities Budget ... delivery. Data and Performance Management + Use the Computerized Maintenance Management System (CMMS) to review service request status, manage corrective and… more
- HCA Healthcare (Hudson, FL)
- …and personal growth, we encourage you to apply for our Hospital Laboratory Director opening. We promptly review all applications. Highly qualified candidates ... and integrity. We care like family! Jump-start your career as a **Laboratory Director ** today with **HCA Florida Bayonet Point Hospital** . **Address: 14000 Fivay… more
- Oracle (Tallahassee, FL)
- …power and cooling in the data center. Critical responsibilities include change management , incident & event support, space utilization , efficiency upgrades, and ... **Job Description** The Data Center Facility Engineering Director individual will lead an organization of Data Center Facility Engineers and Technicians, responsible… more
- Elevance Health (FL)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... **Plan Performance Medical Director - New York Commercial** Location: This role enables...managed care experience preferred. + Consulting experience preferred. + Utilization management experience preferred. + Master's Degree… more
- Elevance Health (Miami, FL)
- … Director ** **Carelon Medical Benefits Management ** **Radiology Benefit Management / Utilization Review ** **Virtual:** This role enables associates to ... supervisors attention, any case review decisions that require + Medical Director review or policy interpretation. **Minimum Requirements:** + Requires MD or… more
- Ascendis Pharma (FL)
- …and Economic Review (ICER) and state Drug Utilization Review Boards (DURBs)). HCP Relationship Management + Through appropriate scientific exchange, ... workplace for employees to grow and develop their skills. The National Director , Field HEOR serves as a strategic scientific liaison responsible for developing… more
- Prime Therapeutics (Tallahassee, FL)
- …specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products ... Director - Remote **Job Description** The Clinical Account Director is responsible for the management of...$124,000.00 - $211,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our… more
- Molina Healthcare (Miami, FL)
- …years as a medical director in managed care setting supporting utilization management /quality management initiatives, or equivalent combination of ... leadership and expertise in performance of prior authorization, inpatient concurrent review , discharge planning, care management and interdisciplinary care team… more
- The Cigna Group (Lake Mary, FL)
- **JOB SUMMARY** The Director Health Systems Sales will lead a Sales Manager and a team of Account Managers and Business Development Managers responsible for the ... a strategic growth priority for Evernorth Health Services (HSS). This Sales Director will be instrumental in expanding our Health System Offering, driving… more