- University of Miami (Miami, FL)
- …and reporting functionally to the Chief Nursing Officer for UHealth, and Chief Medical Director of Oncology Services, the Executive Director , Oncology ... Full Time Executive Director , Clinical Operations to work at the UHealth medical campus in Miami, FL. CORE JOB SUMMARYThe Executive Director , Clinical… more
- Humana (Tallahassee, FL)
- …put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with… more
- Elevance Health (Tampa, FL)
- **Clinical Operations Associate Medical Director ** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management** **Schedule: 10:30 AM-7 PM Central** ... an accommodation is granted as required by law._ The **Clinical Operations Associate Medical Director - Orthopedic Spine Surgery** is responsible for performing… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- HCA Healthcare (Coral Springs, FL)
- …satisfaction and personal growth, we encourage you to apply for our Division Director Clinical Pharmacy Services opening. We promptly review all applications. ... We care like family! Jump-start your career as a(an) Division Director Clinical Pharmacy Services today with HealthTrust Supply Chain. **Benefits** HealthTrust… more
- Molina Healthcare (Orlando, FL)
- …Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous ... Supervises and manages Medical Directors + Develops medical policies and procedures + Conducts peer review... medical policies and procedures + Conducts peer review **JOB QUALIFICATIONS** **REQUIRED EDUCATION:** * Doctorate Degree in… 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
- HCA Healthcare (Brooksville, FL)
- …Healthcare Quality) OR CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians). _Individuals without CPHQ or_ CHCQM _will be ... and the United Kingdom. We are looking for a Director of Quality for our HCA Florida Oak Hill...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (St. Petersburg, FL)
- …services. + Interacts on a regular basis with HBP AVP of Pathology Services, Division Medical Director , Market Medical Director and Divisional and ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...growth, we encourage you to apply for our Division Director of Pathology opening. We promptly review … more
- Highmark Health (Tallahassee, FL)
- …NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the ... and improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may… more