• Clinical Solutions Strategy Senior

    Prime Therapeutics (Tallahassee, FL)
    …and drives 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,... Senior Director is responsible for developing new, bold clinical solutions...medical and pharmacy drug management within a PBM or managed care organization + Must be eligible… more
    Prime Therapeutics (07/31/25)
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  • Senior Director , National and Key…

    J&J Family of Companies (Jacksonville, FL)
    …Learn more at https://www.jnj.com/medtech We are searching for the best talent for a Senior Director , National and Key Accounts to be located in Jacksonville, ... with National Retailers, Mass, Internet, Private Equity, Club, Channels, GPOs and Managed Care + Serve as primary business contact and communication liaison with… more
    J&J Family of Companies (07/24/25)
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  • Senior Medical Director (Medicare)

    Molina Healthcare (Orlando, FL)
    …+ 10+ years relevant experience, including 5+ years of clinical practice and 3+ years HMO/ Managed Care experience **OR** 5 years experience as a Molina Medical ... inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that authorization decisions are...Director + Demonstrated experience in Utilization/Quality Program management +… more
    Molina Healthcare (06/13/25)
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  • Director of Marketing

    HCA Healthcare (Sunrise, FL)
    …team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is ... recognized. Submit your application for the opportunity below: Director of Marketing with HealthTrust Workforce Solutions! **Benefits** HealthTrust Workforce… more
    HCA Healthcare (07/03/25)
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  • Associate Director , Revenue Cycle…

    CenterWell (Tallahassee, FL)
    Director will lead the Revenue Cycle Management team for the CenterWell Senior Primary Care Organization. This individual will manage a small internal team ... + Previous experience in billing for Risk and FFS providers, preferably with senior primary care patient populations + Demonstrated success in managing a… more
    CenterWell (08/22/25)
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  • Director of Market Access - Southeast

    Caris Life Sciences (Tallahassee, FL)
    …to contract terms. + Stay up to date on trends in the managed care market and develop strategy with senior management to address the changes and maintain ... medical policy coverage initiatives and contracting strategies within assigned regional managed care organization(s), and employer groups (employee benefit… more
    Caris Life Sciences (08/21/25)
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  • Medical Director - Dsnp/MMP

    CVS Health (Tallahassee, FL)
    …training in a medical specialty). * Three 3+ years of experience in the managed care industry. * Experience in leading interdisciplinary teams. * Solid ... peer review and educational interventions. * Work with medical director teams focusing on inpatient care management,...understanding of and concurrence with evidence-based medicine (EBM) and managed care principles. * Ability to travel… more
    CVS Health (07/18/25)
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  • Director , Physician Leadership - Medical…

    Humana (Tallahassee, FL)
    …Deep understanding and experience with healthcare policies and operations in a managed care setting Excellent oral and written communications skills, including ... are seeking an accomplished healthcare physician leader for the newly-created role of Director , Physician Leadership. In this role, you will be a key enterprise… more
    Humana (08/21/25)
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  • National Director Market Access and Payer…

    BD (Becton, Dickinson and Company) (Stuart, FL)
    …and is responsible for the establishment, development and execution of the payor, managed care , and payer contracting medical policy initiatives in collaboration ... **maker** **of possible** with us. **Position purpose** The National Director of Payor Strategy and Market Access and Payer...+ Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best… more
    BD (Becton, Dickinson and Company) (08/02/25)
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  • Sr Director Clinical Strategy and Oncology…

    Prime Therapeutics (Tallahassee, FL)
    …Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions is ... within medical and pharmacy drug management within a PBM or managed care organization, or oncology management experience if supporting oncology specialty… more
    Prime Therapeutics (07/01/25)
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