- CVS Health (Tallahassee, FL)
- … will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a ... / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight...and Health Care Industry. *Prior UM ( Utilization Management ) experience *Active and current state medical … more
- United Therapeutics (Tallahassee, FL)
- …is innovative and inspiring where you can truly make a difference. The Regional Field Director , RNS Program Management serves as a director of all clinical ... the commercial non-promotional team. In addition, the Regional Field Director , RNS Program Management will: + Serve...initiation of a UT product, adverse effect mitigation, device utilization , and dosing upon request + Support the Clinical… more
- Elevance Health (Tampa, FL)
- …Associate Medical Director ** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management ** **Schedule: 10:30 AM-7 PM Central** **Virtual:** This ... an accommodation is granted as required by law._ The **Clinical Operations Associate Medical Director - Orthopedic Spine Surgery** is responsible for performing… more
- CVS Health (Tallahassee, FL)
- …through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management , clinical coverage review, member ... outcomes. * Leverage extensive knowledge of health care delivery system, utilization management , reimbursement methods and treatment protocols for DSNP/MMP… more
- Humana (Tallahassee, FL)
- …organization focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with ... part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and… more
- Elevance Health (Miami, FL)
- … Medical Director ** **Carelon Medical Benefits Management ** **Radiology Benefit** ** Management / Utilization ** **Review** **Virtual:** This role ... granted as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the... Director ** is responsible for supporting the medical management staff ensuring timely and consistent… more
- Sedgwick (Tallahassee, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports ... and assure efficient, cost effective, quality program delivery for medical and disability management . + Coordinating and...required to include one (1) to three (3) years utilization review experience and three (3) years clinical quality… more
- Sevita (FL)
- …and leadership skills to a team-based workplace that puts people first. As Executive Director of Operations Management , you will be responsible for operational ... states to increase census, maintain occupancy, improve daily attendance, and maximize utilization . + **Financial Management :** + Oversee billing to ensure… more
- HCA Healthcare (Englewood, FL)
- …providing outstanding patient care. In this key role, the Facility Medical Director is responsible for the oversight and management of all clinical ... Healthcare Anesthesia Services is seeking an experienced, Board Certified, Facility Medical Director to lead the team HCA Florida Englewood Hospital located on… more
- CVS Health (Jacksonville, FL)
- …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... Medical Director (Spine) will be a Subject...responses to members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides… more