• Medical Director - OP Claims

    Humana (Tallahassee, FL)
    …Typically reports to Lead depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (11/24/25)
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  • PCO Medical Director - UM - Part…

    CenterWell (Tallahassee, FL)
    …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...the Director of Physician Strategy at Utilization Management . The Medical Director conducts… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N.…

    Humana (Tallahassee, FL)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
    Humana (10/25/25)
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  • Operations & Mgmt Consultant Mgr - SES

    MyFlorida (Orlando, FL)
    OPERATIONS & MGMT CONSULTANT MGR - SES - 79010568 Date: Nov 17, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 865168 Agency: Business and Professional Regulations Working Title: OPERATIONS & MGMT CONSULTANT MGR - SES - 79010568 Pay Plan: SES Position Number:… more
    MyFlorida (11/21/25)
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  • Director Claims

    Ryder System (Tallahassee, FL)
    …clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and ... Auto Liability Claims , Physical Damage Repairs and Property and Cargo Claims including the management of loss control activities and third-party provider… more
    Ryder System (11/22/25)
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  • Medical Director , Medicare…

    Humana (Tallahassee, FL)
    …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
    Humana (11/19/25)
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  • Sr. Manager, Risk Management

    University of Miami (Miami, FL)
    …and documentation of potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct ... reportable events and prepare submission for approval by Associate Medical Risk management Officer and the Chief...and physicians in sensitive situations involving actual or potential claims . + Analyze and trend data as captured through… more
    University of Miami (10/01/25)
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  • Executive Director , Medical Affairs…

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    As a senior leader within Medical Affairs, the Executive Director will serve as a strategic thought partner and Chief of Staff to the Vice President of ... capabilities aligned with Otsuka's vision, direction, and growth strategy. The Executive Director , Medical Affairs Strategy, Excellence & Operations will lead… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • System Director of Risk Management

    Community Health Systems (Naples, FL)
    The **System Director of Risk Management ** is a key leader responsible for overseeing risk management , patient safety, and regulatory compliance across ... collaborate with one to support quality and safety initiatives. ** Claims & Litigation Management ** + Oversee legal...standards in patient safety and quality care The **System Director of Risk Management ** is a vital… more
    Community Health Systems (09/27/25)
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  • Director , Strategic Planning & Operations…

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …the asset lifecycle. This role reports directly into the Executive Director , Medical Excellence and Operations. **Job Description** **Key Responsibilities ... The Director , Strategic Planning & Operations is a pivotal...multi-year strategic roadmaps tailored to each therapeutic area **Budget Management ** + Oversee budgets for global medical more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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