- Evolent (Tallahassee, FL)
- …critical role in **Performance Suite risk arrangements with payers and strategic utilization management initiatives.** This is an opportunity for a ... developing cardiovascular programs that include improvements to clinical effectiveness of utilization management (UM) and risk-based models.** + Process… more
- CVS Health (Jacksonville, FL)
- …consistent responses to members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise ... 6 company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity...Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from… more
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description** ... The Senior Director Clinical Strategy and Oncology Specialty Solutions is responsible for owning the execution of Prime's oncology specialty products and programs,… more
- HCA Healthcare (Gainesville, FL)
- …services and administrative activities including fiscal, material and human resource management .? + Maintains and monitors utilization of resources, physical ... HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) Director Cardiac Cath Lab with HCA Florida North Florida Hospital, you can… more
- HCA Healthcare (Fort Walton Beach, FL)
- …HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) Director MCU with HCA Florida Fort Walton-Destin Hospital, you can be a ... Eligibility for benefits may vary by location._** Come join our team as a(an) Director MCU. We care for our communities and employees! HCA Hope Fund in fourteen… more
- AdventHealth (Palm Coast, FL)
- …Main Operating Room, Endoscopy, Sterile Processing, and Anesthesia Support Services. The Director will also work with the Manager of Anesthesia Professional Services ... provides oversight support when needed. Functions include overseeing Patient Care Management , Physician Relations, and Quality Care activities for the respective… more
- Polk County Public Schools (Bartow, FL)
- **Position Title:** Director , Information Systems and FTE Compliance **FLSA Status:** Exempt **Salary Grade, if non-union:** SG22 **Pay Grade, if union:** ... school site and Charter site to maximize FTE through utilization of the Student Information and state reporting systems....school site + Oversees District Records Retention policies and management + Oversees the correction of information on the… more
- NextEra Energy (Palm Beach Gardens, FL)
- ** Director of NERC Compliance** **Date:** Aug 11, 2025 **Location(s):** Palm Beach Gardens, FL, US, 33410 **Company:** NextEra Energy **Requisition ID:** 85893 is ... future? Join our innovative, world-class team today! **Position Specific Description** The Director of NERC Compliance is a senior leadership role responsible for… more
- Sedgwick (Tampa, FL)
- …to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best ... Workplaces in Financial Services & Insurance Director Data Tools, Governance and Architecture **PRIMARY PURPOSE OF...growth. This position is also responsible for monitoring resource utilization costs of various data tools and platforms. **ARE… more
- Prime Therapeutics (Tallahassee, FL)
- …every decision we make. **Job Posting Title** Clinical Solutions Strategy Senior Director - Remote **Job Description** The Clinical Solutions Strategy Senior ... Director is responsible for developing new, bold clinical solutions...and implementation of innovative drug solutions, including optimizing drug utilization , patient outcomes, and cost-effectiveness through value-based care models,… more