- Humana (Tallahassee, FL)
- …group practice management + Utilization management experience in a medical management review organization, such as Medicare Advantage and managed Medicaid + ... other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will understand how… more
- Humana (Tallahassee, FL)
- …and Managed Medicaid. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Molina Healthcare (Orlando, FL)
- …from government and accreditation regulators. + Directs the team in providing physician leadership and expertise in the performance of prior authorization, inpatient ... concurrent review , discharge planning, case management and interdisciplinary care team...License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration, Public Health,… more
- AdventHealth (Maitland, FL)
- …Hybrid on-site** **The role you'll contribute:** **This position is responsible for physician contract review and interpretation; as well as, the building ... leadership, Managed Care Reimbursement team, Regional Revenue Cycle leadership, Finance/Accounting, physician practices and AH Physician Enterprise in order to… more
- CenterWell (Daytona Beach, FL)
- …a part of our caring community and help us put health first** The Physician serves as a health-care professional and capable of handling a variety of health-related ... problems. The Physician work assignments involve moderately complex to complex issues...Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.… more
- CenterWell (Deerfield Beach, FL)
- …a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value ... Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum… more
- CenterWell (Deerfield Beach, FL)
- …with the care team through daily huddles. Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in practice by ... defined by Clinical Leadership. Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. Participates in potential… more
- CenterWell (Ormond Beach, FL)
- …a part of our caring community and help us put health first** The Physician serves as a health-care professional and capable of handling a variety of health-related ... problems. The Physician work assignments involve moderately complex to complex issues...Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.… more
- CenterWell (Delray Beach, FL)
- …part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value-based ... Leadership. + Meets with AMD about quality of care, review of outcome data, policy, procedure and records issues....Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five… more
- CenterWell (Belle Glade, FL)
- …care team supporting patient's physical, emotional, and social wellness. The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are ... Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five… more