- Elevance Health (Miami, FL)
- ** Medical Director - Medical Policy ** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... is granted as required by law. Alternate locations may be considered. The ** Medical Director - Medical Policy ** is responsible for the administration of… more
- Elevance Health (Miami, FL)
- …decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. + Determine ... **Clinical Operations Medical Director ** **Carelon MBM** **Virtual:** This...which may include AIM Appropriateness Guidelines, client-specific health plan medical policy , well established evidenced based guidelines,… more
- 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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Elevance Health (Miami, FL)
- **National Accounts Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...law. Alternate locations may be considered. The **National Accounts Medical Director ** is responsible for serving as… more
- 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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- MyFlorida (Gainesville, FL)
- MEDICAL EXECUTIVE DIRECTOR - 60004755 Date: Sep 26, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 855192 Agency: Children and Families Working Title: MEDICAL EXECUTIVE DIRECTOR - 60004755 Pay Plan:...clinical issues called for by the Department and/or hospital policy and procedures. + Maintains membership to the Department… more
- 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 reviewing of all...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- 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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Centene Corporation (Tallahassee, FL)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals...hospitalized for an overdose. + Consults on MCO clinical policy related to Substance Use Disorders and the cases… more
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