- AdventHealth (Tampa, FL)
- …Management staff and serves as physician liaison to promote appropriate utilization of resources by the medical staff. Performance improvement efforts will ... Associate CMO assists the CMO in performance improvement, risk management, continuing medical education, medical staff office, medical school affiliation(s)… more
- Evolent (Tallahassee, FL)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of...Director you will be a key member of the utilization management team. We can offer you a meaningful… more
- Evolent (Tallahassee, FL)
- … Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. . Participates ... the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member...Oncology, you will be a key member of the utilization management team. We can offer you a meaningful… more
- Evolent (Tallahassee, FL)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a ... **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of...Director you will be a key member of the utilization management team. We can offer you a meaningful… more
- Evolent (Tallahassee, FL)
- … Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + Participates ... the culture. **What You'll Be Doing:** As a Field Medical Director, Physical Medicine and Rehab you will be...Rehab you will be a key member of the utilization management team. We can offer you a meaningful… more
- Evolent (Tallahassee, FL)
- … Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + Participates ... FMD, you will be a key member of the utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. What You Will… more
- Highmark Health (Tallahassee, FL)
- …Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in ... standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical...and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician… more
- Elevance Health (Tampa, FL)
- … medical necessity of requests using clinical criteria. + Performs physician -level case review of musculoskeletal utilization requests. + Conducts ... **Clinical Operations Associate Medical Director** **Orthopedic Spine Surgery** **Carelon Medical...peer-to-peer consultation with ordering physicians, physician assistants and advanced practice nurses regarding established guidelines… more
- ChenMed (Pembroke Pines, FL)
- …and other healthcare facilities. + In conjunction with the PCP, hospitalist, Medical Director of Transitional Care, insurance case manager and the hospital case ... Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education and identify post-hospital needs. + Enhance… more
- Molina Healthcare (St. Petersburg, FL)
- **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more