- 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
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- …social and emotional factors underlying patient's health problem. ? Monitors ongoing training, utilization review and peer review for clinical Providers ... within the Department. ? Support duties as required regarding utilization management of the service benefits and additional duties as assigned. ? Actively… more
- Elevance Health (Miami, FL)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Post Acute Care Benefit Utilization Management ** **Schedule: ... their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. **Minimum Requirements:** + Requires MD… 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
- CBRE (Tallahassee, FL)
- … and business leaders. Manages special projects and prepares presentations for senior management . Facilitates review and approval of capex projects in accordance ... Global Finance Director - Remote Job ID 233748 Posted 13-Aug-2025...Effectively recommends same for direct reports to next level management for review and approval. Plans and… more
- Encore (West Palm Beach, FL)
- …Venue Sales Leadership on sales strategies * Creates and participate in business review presentations. _Financial Management & Reporting_ * Drive Results by ... **Position Overview** The Director , Event Technology II (DET II) is responsible...financial goals for the location(s) by effectively directing the management of labor, equipment sub-rentals and other costs. *… 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... Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical… more
- CBRE (Tallahassee, FL)
- …action and termination. Effectively recommends same for direct reports to next level management for review and approval. Plans and monitors appropriate staffing ... Business Intelligence Director Job ID 229566 Posted 29-Jul-2025 Service line...type Full-time Areas of Interest Data & Analytics, Facilities Management Location(s) Remote - US - Remote - US… more
- Evolent (Tallahassee, FL)
- …critical role in **Performance Suite risk arrangements with payers and strategic utilization management initiatives.** This is an opportunity for a ... developing cardiovascular programs that include improvements to clinical effectiveness of utilization management (UM) and risk-based models.** + Process… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... "UHealth", Department of Pediatrics has an exciting opportunity for a Full-Time Executive Director , Clinical Operations to work in Miami. The Executive Director ,… more