• Acute Care Case Manager , Registered Nurse…

    ChenMed (North Miami Beach, FL)
    …departments, and other healthcare facilities. + In conjunction with the PCP, Hospitalist, Medical Director , insurance case manager and the hospital case ... Participates in surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators and criteria as approved by … more
    ChenMed (05/28/25)
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  • Medical Director - Medicaid N.…

    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 ... Medical Director work assignments involve moderately complex to complex issues...Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
    Humana (05/14/25)
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  • Medical Director - Adult Liver…

    University of Miami (Miami, FL)
    …. The Department of Medicine, Hepatology has an exciting opportunity for a Medical Director - Adult Liver Transplant Program (MTI), Clinical Faculty, Open ... Rank - Medicine, Hepatology. The Medical Director is responsible for assisting in...+ Participate in site review by regulatory agencies and insurance companies. + Promotes research activity within the specialty… more
    University of Miami (04/06/25)
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  • Medical Director - Florida

    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 ... Medical Director work assignments involve moderately complex to complex issues...Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
    Humana (06/05/25)
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  • Medical Director - Care Plus…

    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 ... Medical Director work assignments involve moderately complex to complex issues...Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
    Humana (04/24/25)
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  • Medical Director - OneHome

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether… more
    Humana (05/31/25)
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  • Medical Director -Payment Integrity

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (06/06/25)
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  • Medical Executive Director

    MyFlorida (Macclenny, FL)
    MEDICAL EXECUTIVE DIRECTOR - 60073385 Date: May...of Working for the State of Florida: + Health insurance + Life insurance ; $25,000 policy is free ... Requisition No: 851155 Agency: Children and Families Working Title: MEDICAL EXECUTIVE DIRECTOR - 60073385 Pay Plan:...plus option to purchase additional life insurance + Dental, vision and supplemental insurance more
    MyFlorida (06/03/25)
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  • Oncology Regional Medical Scientific…

    Merck (Tallahassee, FL)
    …our portfolio. We are seeking a Growth and Improvement minded Oncology Regional Medical Scientific Director that can help drive our Strategic Operating ... Candidates must reside in the territory. **Strategic Summary** + The Oncology Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD)… more
    Merck (06/03/25)
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  • USMA Regional Medical Scientific…

    Merck (Tallahassee, FL)
    **Job Description** **Role Summary** + The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific...long term incentive if applicable, health care and other insurance benefits (for employee and family), retirement benefits, paid… more
    Merck (05/23/25)
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