- Evolent (Tallahassee, FL)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Molina Healthcare (Miami, FL)
- …Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality Program ... State (TX) Medical License, free of sanctions from Medicaid or Medicare . **Preferred Experience** * Peer Review, medical policy/procedure development, provider… more
- Merck (Tallahassee, FL)
- **Job Description** Associate Director , Field Access Management The Associate Director , Field Access Management serves as the leader to a team of subject-matter ... or reimbursement support * Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) and related access processes, including benefit… more
- Genesis Healthcare (Daytona Beach, FL)
- …with our Clinicians in Action professional development program Responsibilities As a Director of Rehabilitation, you are leading a team of compassionate clinicians ... and the settings. * You know that being a Director of Rehab means you're a teacher who can...in the state of practice 3. Thorough knowledge of Medicare and third party billing required 4. Must have… more
- HCA Healthcare (Fort Myers, FL)
- **Description** **Introduction** We are seeking a Assistant Home Health Director with HCA Florida Healthcare at Home to promote growth and unlock possibilities. At ... by location._** We are seeking a Assistant Home Health Director for our team to be an innovator. HCA...quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of… more
- Ascendis Pharma (FL)
- …workplace for employees to grow and develop their skills. The National Director , Field HEOR serves as a strategic scientific liaison responsible for developing ... collaboration with US payers, including both commercial and public payers such as Medicare and Medicaid. + Collaborate with commercial and medical in responding to… more
- Baylor Scott & White Health (Tallahassee, FL)
- **Job Summary** The Director , Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial ... management function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified… more
- CenterWell (Daytona Beach, FL)
- …and help us put health first** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals *Personally… more
- Molina Healthcare (Jacksonville, FL)
- …health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education on psychiatric ... compliance with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the recruitment and orientation… more
- Evolent (Tallahassee, FL)
- …care is delivered for individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a pivotal role in advancing value-based ... of oncology care delivery** . + Not under sanction or exclusion from Medicare /Medicaid programs. To ensure a secure hiring process we have implemented several… more