- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …writing + Advanced Monitoring Tools (eg Dynatrace, Data Dog, Application Dynamics) + Pharmacy system support (eg Softwriters Frameworks, Red Sail PioneerRx) + ... IT Director - Infrastructure & Support Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Position Type Full Time Job Shift… more
- AssistRx (Orlando, FL)
- …management skills. + . Thorough understanding of pharmaceutical copay structures - pharmacy and medical, including benefit design, reimbursement systems , and ... and day-to-day management of the company's copay assistance programs, both pharmacy and medical copay. This role ensures that patients receive financial… more
- Molina Healthcare (St. Petersburg, FL)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... keep complaint data synchronized across appeals & grievances, enrollment, claims, pharmacy , and quality functions. You surface systemic issues, steer partners toward… more
- Evolent (Tallahassee, FL)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... Be Doing:** Evolent is seeking an experienced health care Director /Senior Director of Product Management to help...that serves as a pivotal strategic partner to health systems and oncology practice groups. **Key Responsibilities:** + Drive… more
- Evolent (Tallahassee, FL)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement and practice… more
- Molina Healthcare (St. Petersburg, FL)
- …providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. + Develops and implements ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- CVS Health (Tallahassee, FL)
- …health outcomes. * Leverage extensive knowledge of health care delivery system , utilization management, reimbursement methods and treatment protocols for DSNP/MMP ... delivery of cost-efficient care. Will also interact with the members, health systems , nursing facilities, as well as home and community-based networks. Make… more
- CenterWell (Jacksonville, FL)
- …of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining ... root cause analysis of care opportunities from both individual, team, and systems perspectives and partner with clinical and operational colleagues to improve… 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 ... root cause analysis of care opportunities from both individual, team, and systems perspectives and partner with clinical and operational colleagues to improve… more
- Sedgwick (Tallahassee, FL)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY ... + Knowledge of utilization review procedures + Knowledge of clinical quality systems and measurements + Knowledge of resources available regarding regulations and… more