• Medical Director - Mid West Region

    Humana (Tallahassee, FL)
    …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and… more
    Humana (08/08/25)
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  • Medical Director - NorthEast Region

    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
    Humana (07/25/25)
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  • Inpatient Medical Coder - FT - Up to $5,000…

    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
    Datavant (06/25/25)
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  • Medical Management Nurse

    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
    Elevance Health (08/23/25)
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  • Associate Medical Director,…

    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
    Sumitomo Pharma (08/15/25)
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  • Medical Management Specialist I

    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
    Elevance Health (08/28/25)
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  • Medical Director -Pharmacy Appeals

    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
    Humana (08/22/25)
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  • Medical Director/Clinical Trial Physician…

    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
    ThermoFisher Scientific (08/13/25)
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  • Claims Specialist, Sr. Medical Malpractice…

    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
    Sedgwick (08/29/25)
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  • Medical Director

    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
    Elevance Health (08/30/25)
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