• Behavioral Health Medical…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care ... strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex...or line of business. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (08/09/25)
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  • Part-Time Weekend Medical Director…

    Highmark Health (Tallahassee, FL)
    …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (06/12/25)
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  • Supplemental Health National Sales Director…

    The Cigna Group (Tallahassee, FL)
    …one of your employment, you'll be offered several health-related benefits including medical , vision, dental, and well-being and behavioral health programs. We ... **Position Summary** The Supplemental Health National Sales Director (NSD) will be responsible for driving new...in Cigna Healthcare to uncover cross-sell opportunities within our Medical and Dental book of business and prospective clients… more
    The Cigna Group (08/26/25)
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  • Assistant Director Of Nursing\ADON\12k Sign…

    BrightSpring Health Services (Gainesville, FL)
    … behavioral /mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training programs, and day programs. For ... Our Company ResCare Community Living Overview The Assistant Director of Nursing is responsible for assisting the Director of Nursing with the daily performance… more
    BrightSpring Health Services (06/13/25)
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  • Director , Data & AI Architecture

    NASCO (Tallahassee, FL)
    …Cross Blue Shield Medical , Dental, and Vision Plans + Telehealthcare - for Medical and Behavioral visits + Generous PTO with buy/sell options + 9 Company ... **Overview** Under general direction, the Director of Data and AI Architecture will drive...business administration or a related field **Working Conditions:** + Remote /Home Office + Well-lighted, heated and/or air conditioned indoor… more
    NASCO (07/24/25)
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  • Associate Director , Revenue Cycle…

    CenterWell (Tallahassee, FL)
    …a part of our caring community and help us put health first** Associate Director will lead the Revenue Cycle Management team for the CenterWell Senior Primary Care ... report directly into the Associate Vice President, Central Operations. The Associate Director is responsible for internal revenue cycle management (RCM) teams and… more
    CenterWell (08/29/25)
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  • Clinical Transformation Director

    Highmark Health (Tallahassee, FL)
    …anchor, including MAQCs and pharmacists, in collaboration with the partnership director who manages non-clinical workforce activity. + **Relationship Management & ... Experience working in provider partnerships + Experience with data analytics and medical economics ​ **SKILLS** + Organizational skills and detail orientation +… more
    Highmark Health (08/21/25)
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  • Clinical Documentation Integrity Specialist…

    AdventHealth (Altamonte Springs, FL)
    …**together** we are even better. **Shift** : Full-time; Monday-Friday **Job Location** : Remote **The role you will contribute:** Under general supervision of the ... Director of Clinical Documentation Integrity and in some situations.... Demonstrates extending the healing ministry of Christ, through behavioral whole care standards of love me, make it… more
    AdventHealth (08/07/25)
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  • Psychologist Reviewer

    Centene Corporation (Tallahassee, FL)
    …on best practice models and utilization management processes + Interact with the Medical Director , or designee, to discuss clinical authorization questions and ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
    Centene Corporation (08/08/25)
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  • Utilization Review Clinician

    Monte Nido (Miami, FL)
    …review and clinical documentation across programs. + Leverage understanding of medical necessity criteria and current behavioral health insurance landscape ... to realize their healthy selves. **Utilization Review Clinician** **Monte Nido** ** Remote ** **Monte Nido has been delivering treatment for eating disorders for… more
    Monte Nido (08/28/25)
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