• Chief Medical Officer AdventHealth Children's

    AdventHealth (Altamonte Springs, FL)
    …CEO, the Chief Medical Officer (CMO) assumes a pivotal role in providing physician leadership and enhancing clinical outcomes. The CMO spearheads efforts to bolster ... liaison between physicians and Case Management staff to optimize resource utilization , ultimately resulting in enhanced patient service, improved medical staff… more
    AdventHealth (08/07/25)
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  • Acute Care Manager, Complex Care (Registered…

    ChenMed (Pembroke Pines, FL)
    …Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education and identify post-hospital needs. + Enhance ... reports adverse occurrences, and performs staff education related to resource utilization , discharge planning and psychosocial aspects of healthcare delivery. +… more
    ChenMed (08/16/25)
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  • Medical Director

    Centene Corporation (Tallahassee, FL)
    …for the business unit. + Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. + Performs ... medical review activities pertaining to utilization review, quality assurance, and medical review of complex,...the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. +… more
    Centene Corporation (07/19/25)
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  • Chief Medical Officer

    Ascension Health (Jacksonville, FL)
    …patients, physicians and clinical staff. Identifies, cultivates and develops emerging physician leaders, provides coaching and mentoring by identifying deficits and ... needs for physician leadership training and opportunity. + Responsible for monitoring,...performance and quality improvement, risk management and efficient resource utilization . + Provides leadership to management within areas of… more
    Ascension Health (05/24/25)
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  • Acute Care Manager, Complex Care (Registered…

    ChenMed (Opa Locka, FL)
    …patient/family conferences to review treatment goals and optimize resource utilization ; provides family education and identifies post-hospital needs. + Serves ... reports adverse occurrences, and performs staff education related to resource utilization , discharge planning and psychosocial aspects of healthcare delivery. +… more
    ChenMed (08/16/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (FL)
    …and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource ... management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality of patient care,… more
    Molina Healthcare (08/08/25)
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  • Acute Care Case Manager , Registered Nurse…

    ChenMed (North Miami Beach, FL)
    …patient/family conferences to review treatment goals and optimize resource utilization ; provides family education and identifies post-hospital needs. + Serves ... reports adverse occurrences, and performs staff education related to resource utilization , discharge planning and psychosocial aspects of healthcare delivery. +… more
    ChenMed (05/28/25)
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  • Field Medical Director , Radiology (Urology)

    Evolent (Tallahassee, FL)
    …Doing:** Job Description As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve… more
    Evolent (08/02/25)
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  • Field Medical Director, Physical Medicine…

    Evolent (Tallahassee, FL)
    …Medical Director, Physical Medicine and Rehab you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve… more
    Evolent (07/24/25)
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  • Senior Pharmacist

    Highmark Health (Tallahassee, FL)
    …RESPONSIBILITIES** + Monitor FDA-approvals, drug manufacturer pipelines, assess drug utilization reports, and write drug monographs for Committee review to ... Formularies by monitoring FDA-approvals and drug manufacturer pipelines, assessing drug utilization reports, and writing drug monographs for Pharmacy & Therapeutics… more
    Highmark Health (06/26/25)
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