- Evolent (Tallahassee, FL)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …self. Become a **maker** **of possible** with us. **Position purpose** The National Director of Payor Strategy and Market Access and Payer Strategy, reports to the ... strategy to ensure optimal coverage and maximize reimbursement from Commercial, Medicaid and Medicare plans. The individual will also have direct supervision… more
- CVS Health (Tallahassee, FL)
- …oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare- Medicaid Plan) * Develop and lead clinical strategy and objectives for ... * Actively participate in meetings and communication with the State Department of Medicaid in person as needed. * Outward facing position to interact and collaborate… more
- AdventHealth (Palm Coast, FL)
- …MEDICAL PKWY, Daytona Beach, 32117 The role you'll contribute: The Executive Director of Practice Operations is responsible for managing the operations of assigned ... of the CFD-N mission and strategic plan. The Executive Director of Practice Operations reports to the AHMG Chief...of Florida regulatory agencies, basic Centers for Medicare & Medicaid Services (CMS) regulations, as well as other local,… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Associate Director , Technology Solutions devises an effective strategy for executing and delivering on IT ... business initiatives. The Associate Director , Technology Solutions requires a solid understanding of how...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- WTW (Tampa, FL)
- …highly motivated and skilled professional to join our Sales Center Team as a Sales Director . **How the Position Works** The Sales Director will oversee the daily ... progress, enforcing policies, and ensuring excellent quality of business. The Sales Director must be people-centered, have strong communication skills, and be a… more
- Elevance Health (Tampa, FL)
- **CareBridge Growth Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate ... quality of life through home-care and community based services. The CareBridge Growth Director will function as a Chief of Staff, overseeing key initiatives to drive… more
- Evolent (Tallahassee, FL)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management team. We ... timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation,… more
- SIMEDHealth (Gainesville, FL)
- …physician-owned multi-specialty medical group, is seeking an experienced Accounts Receivable Director to oversee our AR operations and lead a dedicated team ... practice environment. Reporting directly to the Chief Financial Officer, the AR Director is responsible for ensuring the accuracy, efficiency, and effectiveness of… more
- Molina Healthcare (Miami, FL)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Program Director is a key Quality Improvement (QI) leader within the ... needs. + Manages QI programs with oversight from the Director , AVP and VP as needed. + Collaborates and...of and experience with HEDIS programs. + 2 years Medicaid experience + 2 years Medicare experience + 3… more