• Medical Director -Pharmacy Appeals

    Humana (Tallahassee, FL)
    …Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or clinical group practice management + Utilization ... part of our caring community and help us put health first** The Medical Director relies on broad clinical...value based care in accordance with Medicare and Humana policy . The Medical Director will collaborate with clinicians and… more
    Humana (08/22/25)
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  • Ops Government Operations Consultant II

    MyFlorida (Tallahassee, FL)
    …Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Division of Public Health Statistics and Performance Management Director's Office ... Your Specific Responsibilities: This position is pivotal in the Division of Public Health Statistics and Performance Management , serving as the Loan Program… more
    MyFlorida (08/13/25)
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  • Registered Nursing Consultant Supv

    MyFlorida (Chattahoochee, FL)
    …care related committees, which includes but is not limited to: Resident Health & Safety Committee, Management Reviews, Mortality Review, Infection Control, ... patient safety plan. + Ensure the development of appropriate policy and procedures that minimize the risk of injury...of professional nursing experience. + Experience working in Risk Management . + Clinical experience working in Mental Health more
    MyFlorida (08/29/25)
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  • Medical Director - Mid West Region

    Humana (Tallahassee, FL)
    …as a focus on collaborative business relationships, value based care, population health , or disease or care management . **Responsibilities** The Medical Director ... quality management , utilization management , case management , discharge planning and/or home health or...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (08/08/25)
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  • Associate Medical Director

    CenterWell (Jacksonville, FL)
    …and programs for transitions of care management (TCM), high-risk patient management (HRPM), and social determinants of health (SDOH) efforts, improving ... and clinical excellence in age-friendly senior primary care including health promotion & prevention, disease management , effective...day one. ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    CenterWell (07/22/25)
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  • Hybrid Bilingual Manager, Care Integration Team

    CenterWell (Tampa, FL)
    **Become a part of our caring community and help us put health first** The Manager Care/Case Management in **Tampa area (** **_this is not a remote position_** ... **)** is responsible for managing a team of nurses, community health workers, and behavioral health resources who engage high risk/high needs patients using a… more
    CenterWell (08/09/25)
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  • Medical Director - NorthEast Region

    Humana (Tallahassee, FL)
    …in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such as ... Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance,… more
    Humana (07/25/25)
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  • Clinical Specialist CRM

    Medtronic (Sarasota, FL)
    …and sales support to assist the district in meeting Cardiac Rhythm Management (CRM) sales and customer service objectives. CRM seeks collaborative candidates who ... and holidays during the quarter, as determined by local management . Weeknight call coverage is the primary responsibility of...have a valid driver's license and active vehicle insurance policy . In addition, your driving record will be reviewed… more
    Medtronic (08/23/25)
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  • Senior Director, Federal Government Affairs

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …functions. Essential Qualifications Bachelor's degree Preferred: advanced degree in political science, health policy , law, business, health sciences or any ... DC. This position reports to the Vice President, Government Affairs & Public Policy , within the Corporate Affairs function. As the strategic leader, and a member… more
    Otsuka America Pharmaceutical Inc. (07/19/25)
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  • Program Administrator

    MyFlorida (Fort Myers, FL)
    …and other optimizing methods to develop and interpret information that assists management with decision-making, policy formulation and other strategic decisions. ... a professional, administrative, and supervisory position responsible for the everyday management and direction of the district's business activities and regulatory… more
    MyFlorida (08/20/25)
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