- Cardinal Health (Tallahassee, FL)
- …team on prescribed medications, supplies and related processes. **_Job Summary_** The Market Director of Pharmacy provides overall regional leadership direction ... and management assistance of operation processes and initiatives within the...managers and staff. + Supports the Account Manager, Clinical Director , Market DOP colleagues, and client system… more
- Elevance Health (Miami, FL)
- …clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for ... director provides clinical expertise in all aspects of utilization review and case management . Provides input...services by members. Involved in identifying and managing medical utilization trends, emerging trends and market changes… more
- University of Miami (Miami, FL)
- …review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Executive Director , Utilities and Energy Management The ... has an exciting opportunity for a Full Time Executive Director , Utilities Energy Management to work at...UM employees alike. + Supports the business development and management of strategic relationships with the appropriate market… more
- Centene Corporation (Tallahassee, FL)
- …reside in Florida + Board certified in Pediatrics or Family Medicine + Utilization Management experience and knowledge of quality accreditation standards. + ... functions for the business unit. + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. +… more
- Humana (Tallahassee, FL)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Tallahassee, FL)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Tallahassee, FL)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... with prior experience participating in teams focusing on quality management , utilization management , case ...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… more
- Elevance Health (Miami, FL)
- …+ Provides guidance for clinical operational aspects of a program. + Perform utilization management reviews to determine medical necessity and appropriateness of ... **Medical Director - Florida Medicare Plans** Location: This role enables...agency. **Preferred Qualifications:** + Bilingual- Spanish speaking preferred. + Utilization Management case review experience strongly preferred.… more
- ChenMed (Margate, FL)
- …Way and core model in his/her assigned center. Under the direction of the Market Chief Medical Officer (MCMO), the Medical Director , Center will directly ... and key stakeholders for all ChenMed/JenCare/Dedicated Senior Medical Centers within the market . The Medical Director , Center will have approximately 70-90% of… more
- HCA Healthcare (Coral Springs, FL)
- …to include but not limited to: Clinical initiatives that impact drug utilization , clinical education and staff development, management of appropriate drug ... We care like family! Jump-start your career as a(an) Division Director Clinical Pharmacy Services today with HealthTrust Supply Chain. **Benefits** HealthTrust… more