• Medical Director - Nat'l UM IP (4x10…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...departmental expectations, and meets compliance timelines. **Required Qualifications** + MD or DO degree + **4 x 10h (Fri,… more
    Humana (11/07/25)
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  • Assistant Professor, Medicine, General Internal…

    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...Board Certification in Internal Medicine . Awarded degree of MD or DO from an ABIM recognized internal medicine… more
    University of Miami (12/20/25)
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  • UMMG Staff Physician - Medicine, Family Medicine…

    University of Miami (Miami, FL)
    …this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Job Title: Medical Director , Osher Center for Integrative ... a dedicated and collaborative physician to serve as its Medical Director . The Medical ...perspective in Center initiatives and outreach. Required Qualifications + MD or DO with an active medical more
    University of Miami (12/20/25)
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  • Medical Director - IP Claims…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...objectives and community relations as directed. **Required Qualifications** + MD or DO degree + 5+ years of direct… more
    Humana (12/11/25)
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  • Medical Director -Payment Integrity

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...objectives and community relations as directed. **Required Qualifications** + MD or DO degree + 5+ years of direct… more
    Humana (12/11/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Tallahassee, FL)
    …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...your skills to make an impact** **Required Qualifications** + MD or DO degree + 5+ years of direct… more
    Humana (11/15/25)
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  • Behavioral Health Medical Director

    Elevance Health (Tampa, FL)
    **Behavioral Health Medical Director -Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Friday. Half day Saturday rotation, once a month.** The **Behavioral Health Medical Director -Psychiatrist Appeals** is responsible for the administration of… more
    Elevance Health (01/09/26)
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  • Medical Director - Florida Medicare…

    Elevance Health (Tampa, FL)
    ** Medical Director - Florida Medicare Plans** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... in Florida near our Miami or Tampa locations.** The ** Medical Director ** will support the following Florida...and ensure timely case processing. **Minimum Requirements:** + Requires MD or DO and Board certification approved by one… more
    Elevance Health (01/09/26)
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  • Field Medical Director , Cardiology

    Evolent (Tallahassee, FL)
    …utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD /DO/MBBS Degree + ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key...(NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is… more
    Evolent (12/31/25)
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  • Field Medical Director

    Evolent (Tallahassee, FL)
    …accountability for utilization management while working in conjunction with the Senior Medical Director . **Qualifications** + MD /DO/MBBS Degree + Current, ... setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your...(NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is… more
    Evolent (12/18/25)
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