- Sedgwick (Tallahassee, FL)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would ... work 8-20 hours per week. **PRIMARY PURPOSE** **:** To evaluate medical reports escalated due to deficient information utilizing evidence based criteria; to provide… more
- ChenMed (Oakland Park, 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
- HCA Healthcare (Plantation, FL)
- **Description** This position is incentive eligible. **Job Summary and Qualifications** The Director of Graduate Medical Education is responsible for maintaining ... and maintain appropriate oversight and daily management of all medical education programs, which may also include undergraduate ...is critical to the success of the program(s). The Director of GME will make formal recommendations for improvement… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an… more
- 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
- Elevance Health (Miami, FL)
- **National Accounts Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... law. Alternate locations may be considered. The **National Accounts Medical Director ** is responsible for serving as...management is a plus. + Knowledge of the health insurance industry and the National Accounts segment is preferred.… more
- 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
- Amentum (Tallahassee, FL)
- **Amentum seeks a Director , Insurance and Risk Management.** **Amentum** is a global leader in advanced engineering and innovative technology solutions, trusted ... all 7 continents. The Amentum Risk Management Team has an immediate opening for a ** Director of Insurance and Risk Management** position to join our Treasury &… more
- 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, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether… more
- 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
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