• Claims Litigation Manager Senior

    USAA (Tampa, FL)
    …what truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager Senior, you will managed complex litigation arising out of ... resource for colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison with… more
    USAA (09/30/25)
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  • Director , Risk Management

    University of Miami (Miami, FL)
    …and documentation of potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. Conduct ... Management has an exciting opportunity for a full-time Director , Risk Management to work on the...shall provide consultation to UM leadership that includes: Senior Management , Faculty and Staff, Medical Leadership and… more
    University of Miami (09/23/25)
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  • Director of Medical…

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    Position Summary: The Director of Medical Management is responsible for the strategic direction, leadership, and oversight of all medical management ... Claims , and IT to ensure seamless integration of medical management processes. + Ensure all activities...+ At least 3-5 years in a leadership or director -level role managing teams. + Strong knowledge of regulatory… more
    DOCTORS HEALTHCARE PLANS, INC. (09/14/25)
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  • Medical Director , Global…

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs,...for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable.… more
    Otsuka America Pharmaceutical Inc. (07/16/25)
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  • Medical Director - Gulf South

    Humana (Tallahassee, FL)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... 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
    Humana (10/03/25)
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  • System Director of Risk Management…

    Community Health Systems (Naples, FL)
    The **System Director of Risk Management ** is a key leader responsible for overseeing risk management , patient safety, and regulatory compliance across ... collaborate with one to support quality and safety initiatives. ** Claims & Litigation Management ** + Oversee legal...standards in patient safety and quality care The **System Director of Risk Management ** is a vital… more
    Community Health Systems (09/27/25)
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  • Medical Director

    Centene Corporation (Tallahassee, FL)
    …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... Doctor or Doctor of Osteopathy, Indiana-licensed Geriatrician that assists the Chief Medical Director , Utilization Management , Care Management , and… more
    Centene Corporation (10/03/25)
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  • Associate Director , Commercial Data…

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data Enablement (DE) for Business Analysis (BA) is accountable for ... and utility of Otsuka's data assets. **Job Description** Reporting to the Director CDM, this role will be responsible for providing strategic insight and… more
    Otsuka America Pharmaceutical Inc. (08/13/25)
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  • Medical Director - Northeast Region

    Humana (Tallahassee, FL)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... 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
    Humana (07/25/25)
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  • Associate Director , Medical Affairs…

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    **Position Summary:** The Associate Director of Global Medical Affairs Omnichannel will be responsible for developing and leading the omnichannel strategy for ... Global Medical Affairs across all therapeutic areas and brands. This...aligning with CoE training efforts. + **Performance & Risk Management :** + Provide regular updates on the performance and… more
    Otsuka America Pharmaceutical Inc. (10/02/25)
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