• Medical Director Physician…

    AdventHealth (Altamonte Springs, FL)
    …assists in drafting and submitting clinical denial appeals, as needed + Develops Medical Director relationships with payors to have open communication and ... Altamonte Springs, FL **The role you will contribute:** The Physician Advisor provides primary support for Utilization ...and medical staff, as well as, the medical liaison for payor escalations. The Physician … more
    AdventHealth (08/07/25)
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  • Medical Director Physician…

    AdventHealth (Tampa, FL)
    …heart failure, cancer and other diseases. **The role you'll contribute** **:** The Physician Advisor provides primary support for Utilization Management (UM) and ... and medical staff, as well as, the medical liaison for payor escalations. The Physician ...patient safety, and quality outcomes. Through primary support of Utilization Management, the Physician Advisor is responsible… more
    AdventHealth (08/27/25)
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  • Director of Physician Services I

    HCA Healthcare (Tallahassee, FL)
    …alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director of Physician Services I with HCA Healthcare, you can be a ... vary by location._** Come join our team as a Director of Physician Services I. We care...flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training +… more
    HCA Healthcare (08/22/25)
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  • Medical Director

    Centene Corporation (Tallahassee, FL)
    …state, corporate, and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician committees including committee ... including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical … more
    Centene Corporation (07/19/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (St. Petersburg, FL)
    …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
    Molina Healthcare (08/28/25)
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  • Medical Director - Florida

    Humana (Tallahassee, FL)
    …and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (07/29/25)
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  • Field Medical Director , Cardiology

    Evolent (Tallahassee, FL)
    …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key... you will be a key member of the utilization management team. We can offer you a meaningful… more
    Evolent (08/15/25)
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  • Field Medical Director , Pain…

    Evolent (Tallahassee, FL)
    …per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall ... for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be... management while working in conjunction with the Senior Medical Director . May assist the Senior … more
    Evolent (08/20/25)
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  • Field Medical Director - Vascular…

    Evolent (Tallahassee, FL)
    …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key... you will be a key member of the utilization management team. We can offer you a meaningful… more
    Evolent (08/28/25)
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  • Behavioral Health Medical Director…

    Humana (Tallahassee, FL)
    …may require conflict resolution skills. The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, facilities, ... our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations.… more
    Humana (08/09/25)
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