- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the… more
- Datavant (Tallahassee, FL)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Elevance Health (Miami, FL)
- ** Medical Management Nurse** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... 7am - 6pm EST and will include weekends. The ** Medical Management Nurse** will be responsible for review of...skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has… more
- Sumitomo Pharma (Tallahassee, FL)
- …FDA and/or EU ICH safety requirements** + Expertise in medical review of medical review of Individual case safety reports and aggregate safety reports + ... Sumitomo Pharma Co., Ltd. is a global pharmaceutical company based in Japan with key operations in...motivated, and experienced individual for the position of **Associate Medical Director.** The Associate Medical Director will… more
- Elevance Health (Tampa, FL)
- ** Medical Management Specialist I** **Location** : **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... is granted as required by law. **Shift:** Monday-Friday 8a-5p EST The ** Medical Management Specialist I** is responsible for providing non-clinical support to the… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D ... & B). The Medical director work assignments involve moderately complex to complex...where the analysis of situations or data requires a case -by- case consideration of the Medicare rules, Humana… more
- ThermoFisher Scientific (Alachua, FL)
- …future. **Location/Division Specific Information** Join Thermo Fisher Scientific as a Medical Director/Clinical Trial Physician(FSP) based in the United States and ... 10-20% range(international maybe required). Our client, a global mid-sized biotech company , focuses on developing innovative treatments for patients with autoimmune… more
- Sedgwick (Orlando, FL)
- …resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific ... Best Workplaces in Financial Services & Insurance Claims Specialist, Sr. Medical Malpractice (Professional Liability) **PRIMARY PURPOSE** : To analyze complex or… more
- Elevance Health (FL)
- …external entities and/or serve on internal and/or external committees. + May chair company committees. + Interprets medical policies and clinical guidelines. + ... ** Medical Director** _Please note that per our policy...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- CVS Health (Jacksonville, FL)
- …a remote based (work at home) based anywhere in the US.** Aetna, a CVS Health Company , has an exciting opportunity for a Medical Director (Spine) that can be ... **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs… more