- Humana (Tallahassee, FL)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
- Centene Corporation (Tallahassee, FL)
- …regulatory, state, corporate , and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician committees including ... providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families...+ Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** Director Enterprise Data Quality and Stewardship The Data Governance Director will be the ... quality, integrity, privacy, availability, security and usability and adherence to corporate policies, enterprise standards and procedures. This role will work to… more
- Humana (Tampa, FL)
- …Role may be remote or hybrid Tampa/South Florida location. The R-396181 Director Finance, Florida Comprehensive Medicaid (Florida Medicaid Market CFO) analyzes and ... and timely information for strategic and operational decisions. The R-396181 Director Finance, Florida Comprehensive Medicaid (Florida Medicaid Market CFO) requires… more
- USAA (Tampa, FL)
- …makes us special and impactful. **The Opportunity** USAA is seeking a talented ** Director , Retirement Income** to lead multiple teams of Health, Life or Retirement ... Risk and Compliance on interpretation of CMS (Center for Medicare and Medicaid Services) rules to provide guidance and...may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of… more
- Guidehouse (Tampa, FL)
- …None **What You Will Do** **:** + Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue cycle ... services through efficient review and timely resolution of assigned Medicare and third-party payer accounts that are subject to...Coding Initiatives (CCI) + Medically Unlikely Edits (MUE) + Medical Necessity edits + Other claim level edits as… more
- Humana (Tallahassee, FL)
- …segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... subject matter experts, members of Humana's executive Management Team, and corporate , functional, and business unit leaders. Recent example projects include… more
- Humana (Tallahassee, FL)
- …first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes ... diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors… more
- Elevance Health (Fort Myers, FL)
- …Monday - Friday; 8am - 4pm **Location** : Fort Myers, FL - 16431 Corporate Commerce Way This role requires associates to work from the posted location full-time, ... procedures. + Completes admission process as directed by Center Director . + Performs physical assessment on each patient as...needed. + Documents all pertinent data in the patient's medical record. + Reports all significant changes or observations… more