• Behavioral Health Medical Director…

    Humana (Tallahassee, FL)
    …a focus on collaborative business relationships, value-based care , quality metrics, population health , and disease or care management . The Behavioral ... Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral...managers or Care managers on complex case management , including familiarity with social determinants of health more
    Humana (11/11/25)
    - Related Jobs
  • Medical Director - Dsnp/MMP

    CVS Health (Tallahassee, FL)
    …managed to improve health outcomes. * Leverage extensive knowledge of health care delivery system, utilization management , reimbursement methods and ... that are evidence-based. * Work collaboratively with the Behavioral Health , Pharmacy, Member Outreach, Care Management...with the Behavioral Health , Pharmacy, Member Outreach, Care Management , National Quality Management ,… more
    CVS Health (11/21/25)
    - Related Jobs
  • Case Manager Triage Nurse

    CVS Health (Tallahassee, FL)
    …access to necessary services and support. + Facilitate referrals to internal multidisciplinary care team members including Health Management Nurses and ... skills, proficiency with Microsoft and web-based applications. + Experience in health management , care coordination, or telephonic nursing is preferred. +… more
    CVS Health (11/27/25)
    - Related Jobs
  • VP, Medical Economics

    Molina Healthcare (FL)
    …/leadership experience. * Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field. * Extensive ... dashboards in Excel, Power BI, and/or Tableau and data management . * Advanced understanding health care operations (utilization management , disease… more
    Molina Healthcare (11/21/25)
    - Related Jobs
  • Care Manager - Multiple Openings in FL (RN,…

    Molina Healthcare (Jacksonville, FL)
    …requirements). Required Qualifications * At least 2 years experience in health care , preferably in care management , or experience in a medical ... JOB DESCRIPTION Job Summary Provides support for care management / care coordination activities...in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network… more
    Molina Healthcare (10/18/25)
    - Related Jobs
  • Medical Director (NV)

    Molina Healthcare (Jacksonville, FL)
    …Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification ... (CCMC), Case Management Society of America (CMSA) or other health care or management certification. To all current Molina employees: If you are… more
    Molina Healthcare (11/21/25)
    - Related Jobs
  • Regional Coding Operations Manager WFH

    HCA Healthcare (Fort Lauderdale, FL)
    …and revenue cycle operations experience strongly preferred. + Minimum 5 years health care management /leadership experience required. + Experience leading ... RHIA (Registered Health Information Administrator) through AHIMA (American Health Information Management Association) or AAPC's (American Academy of… more
    HCA Healthcare (10/24/25)
    - Related Jobs
  • Medical Director - OP Claims Mgmt

    Humana (Tallahassee, FL)
    …as well as a focus on collaborative business relationships, value based care , population health , or disease or care management . **Use your skills to make ... Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health . + The curiosity… more
    Humana (11/24/25)
    - Related Jobs
  • PCO Medical Director - UM - Part Time (Hourly)

    CenterWell (Tallahassee, FL)
    …as well as a focus on collaborative business relationships, value-based care , population health , or disease or care management . **Use your skills to make ... work, communication of decisions to internal associates, participation in care management and possible participation in ...of care , quality management ,utilizationmanagement, case management , discharge planning and/or home health or… more
    CenterWell (11/06/25)
    - Related Jobs
  • Medical Director - Medicaid N. Central

    Humana (Tallahassee, FL)
    …as well as a focus on collaborative business relationships, value based care , population health , or disease or care management **Use your skills to make ... of decisions to internal associates, and possible participation in care management . The clinical scenarios arise from...managers or Care managers on complex case management , including familiarity with social determinants of health more
    Humana (10/25/25)
    - Related Jobs