- Humana (Tallahassee, FL)
- …clinical specialists with recent inpatient experience preferred** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Humana (Tallahassee, FL)
- …services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care ...authorized. All work occurs within a context of regulatory compliance and work is assisted by diverse resources which… more
- Humana (Tallahassee, FL)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. The medical director has discussions with external… more
- Humana (Tallahassee, FL)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Molina Healthcare (Miami, FL)
- …dynamics, and the latest Medicaid trends, positioning Molina as a leader in Medicaid managed care + Track regulatory compliance and address any operational ... in market strategy, business development, or healthcare consulting, specifically within Medicaid managed care or equivalent related field + Proven experience in… more
- Caris Life Sciences (Tallahassee, FL)
- …medical policy coverage initiatives and contracting strategies within assigned regional managed care organization(s), and employer groups (employee benefit ... + Stay up to date on trends in the managed care market and develop strategy with...key stakeholders, including medical and trade associations. + Ensure compliance with relevant regulations and standards for product access… more
- Grifols Shared Services North America, Inc (Sarasota, FL)
- …presentations to appropriate groups such as the following: key accounts, managed care organizations, integrated systems, national medical associations, and ... more than 110 countries and regions. The primary responsibility of the MSL Field Director is the management, performance, and coaching of a team of MSL direct… more
- 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 ... understanding of and concurrence with evidence-based medicine (EBM) and managed care principles. * Ability to travel on as needed basis; planned and scheduled in… more
- Humana (Tallahassee, FL)
- …+ 5 years of established, post-residency clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + ... our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals.… more
- YesCare Corp (Tallahassee, FL)
- …medicine in the state of employment + Board certified in primary care specialty (Family Practice, Internal Medicine, Emergency Medicine, Public Health or ... Occupational Medicine) with administrative experience in corrections and/or managed healthcare delivery. + Current DEA registration. Board certified, eligible, or… more