- Molina Healthcare (Orlando, FL)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Humana (Tallahassee, FL)
- …care management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and ... operations team and healthcare organization. The Medical Director 's work includes computer based review of...management + Utilization management experience in a medical management review organization, such as Medicare… more
- Humana (Tallahassee, FL)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director relies on medical ...management. + Utilization management experience in a medical management review organization, such as Medicare… more
- Evolent (Tallahassee, FL)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure...process. + On a requested basis, may function as Medical Director for selecting health plans or… more
- Evolent (Tallahassee, FL)
- …timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Elevance Health (Miami, FL)
- ** Medical Director ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... we will drive the future of health care. The ** Medical Director ** is responsible for the administration...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- Evolent (Tallahassee, FL)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , Physical Medicine and Rehab you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- University of Miami (Miami, FL)
- …Medicine, Cancer Survivorship has an exciting opportunity for an Assistant Professor of Clinical ( Medical Director ). The Medical Director is appointed by ... Sylvester Comprehensive Cancer Center for the respective discipline. The Medical Director shall be a member of...Improving patient satisfaction + Improving patient safety + Peer review , performance improvement, utilization review ,… more
- BayCare Health System (Clearwater, FL)
- …and clinical excellence. **_Click here for Leadership Position Profile :_** **_Medical Director Cancer Institute_** ** Medical Director Cancer Institute ... staff's mutual interests and responsibility for quality assurance, appropriate utilization review , process improvement, and clinical performance. + Will… more
- Evolent (Tallahassee, FL)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality… more