- Elevance Health (Tampa, FL)
- ** Medical Director - Florida Medicaid ** Location: This position will work a hybrid model (remote and office). The Ideal candidate will must live within 50 ... locations. **Build the Possibilities. Make an extraordinary impact.** The Medical Director is responsible for the administration...medicine or a health profession in the state of Florida . + Unless expressly allowed by state or federal… more
- CVS Health (Tallahassee, FL)
- …health care more personal, convenient and affordable. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 ... and the Southeast Region (KY, LA and WV). This Medical Director will be a "Work from...Practice and Health Care Industry. - Active and current Florida state medical license without encumbrances as… more
- CVS Health (Baton Rouge, LA)
- …health care more personal, convenient and affordable. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 ... opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California,...Better Health Plan of Louisiana. This UM (Utilization Management) Medical Director will be a "Work from… more
- CVS Health (Plantation, FL)
- …has an exciting opportunity to join its leadership team as an Executive Director , Network Management supporting our Florida market for our Commercial, Medicare, ... enable and improve clinical outcomes. + Responsibility for understanding medical cost issues and medical cost ratios...the following key attributes: + Person must reside in Florida . + 10+ years of experience in managed care;… more
- Mount Sinai Health System (Queens, NY)
- **Job Description** **Queens Hospital Center is seeking a** ** Medical Director of the Child/Adolescent Psychiatric Outpatient Services (CAOPD)!** The Icahn ... Hospital Center (QHC) has an exciting opportunity for a Medical Director of CAOPD. QHC serves the...with a valid New York State License, DEA and Medicaid number. + Should have strong clinical abilities, teaching… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Medical Director brings a unique set of knowledge and skills to the business of Blue Cross North Carolina and frequently serves as an ... for this position: $200,000 - $212,000 **What You'll Do** **The application of a Medical Director 's knowledge and clinical skills will vary across the Health… more
- Elevance Health (Miami, FL)
- **Clinical Quality Program Director ** **Preferred Location: Florida . This position is hybrid and will require the associate to report to the office at least 1-2 ... business needs and priority improvement areas strongly preferred. + Advance knowledge of Medicaid /Medicare guidelines for the state of Florida . + Minimum 5 yrs… more
- HCA Healthcare (Tallahassee, FL)
- …colleagues invested over 156,000 hours impacting our communities. As a(an) Division Director Regulatory Compliance with HCA Healthcare, you can be a manager in ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...by location._** Come join our team as a(an) Division Director Regulatory Compliance. We care for our communities and… more
- Mount Sinai Health System (New York, NY)
- …responsible for evaluating and driving performance for value-based contracts including Medicare, Medicaid and commercial arrangements. The Senior Director is a ... including Powerpoint and Excel Results orientation with working knowledge of medical economics analytics Understanding of CMS programs and concepts (eg, Star… more
- Mount Sinai Health System (Queens, NY)
- **Job Description** **Elmhurst Hospital Center is seeking a full-time Director for its Oral and Maxillofacial Surgery Department!** The Icahn School of Medicine at ... with New York City Health + Hospitals/Elmhurst, is seeking a full-time Director for its Oral and Maxillofacial Surgery Department. Elmhurst Hospital Center is… more
- HCA Healthcare (Charleston, SC)
- …you want to join an organization that invests in you as a **Division Director Regulatory and Accreditation** ? At HCA Healthcare, you come first. HCA Healthcare has ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...a difference. We are looking for a dedicated **Division Director Regulatory and Accreditation** like you to be a… more
- The Cigna Group (Bloomfield, CT)
- …up to 25%.** **OVERVIEW:** The Medicare Advantage (MA) Provider Operations Senior Director is a senior leadership role within the Cigna Medicare Operations ... and milestones supporting the Annual Readiness process for Medicare and Medicaid . + Review MA Provider Operations systems and processes, recommend improvements… more
- Humana (Miramar, FL)
- …our caring community and help us put health first** The Associate Director , Branch Administration responsible for administration and/or management of branches The ... Associate Director , Branch Administration requires a solid understanding of how...**Requirements** + Licensed Registered Nurse in the State of Florida + Minimum of three (3) years of experience… more
- Ebenezer (Edina, MN)
- …**. All Wage determinations will be based on similar experience.** The **Float Director of Health Services (DHS)** RN is responsible for providing leadership in all ... nurse is available by phone to provide evaluation and direction for unexpected medical situations occurring at the community during evening and overnight hours. This… more
- AdventHealth (Tampa, FL)
- …six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come . Awarded the Get With The Guidelines ... as a Primary Stroke Center. **The role you'll contribute:** The Executive Director will be responsible for: . Leading, planning, directing and coordinating the… more
- MyFlorida (Fort Myers, FL)
- …match the individual child/youth needs. Reviews potential appropriate matches with MFC medical director for consideration of authorization of recommendation for ... of necessary MFC stakeholders including, but not limited, to the MFC client's Medicaid Managed Medical Assistance (MMA) plan and CBC representative. Engages,… more
- Elevance Health (Tampa, FL)
- …for people enrolled in Medicaid and/or Medicare programs in Florida . ** Medical Management Clinician Associate** **Location:** The selected candidates must ... reside in the state of Florida . Although this position is virtual, our ideal candidate... medical necessity denial determination made by a Medical Director . + Refers complex or non-routine… more
- HCA Healthcare (Miami, FL)
- …with purpose and integrity. We care like family! Jump-start your career as a Medical Records Specialist today with HCA Florida Kendall Hospital. **Benefits** HCA ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the… more
- HCA Healthcare (Kissimmee, FL)
- …with purpose and integrity. We care like family! Jump-start your career as a Medical Records Specialist PRN today with HCA Florida Osceola Hospital. **Benefits** ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the… more
- AdventHealth (Orlando, FL)
- …evaluation and management according to OurLegacy policies in concert with the OurLegacy Medical Director /designee. When barriers to testing exist, is capable of ... OurLegacy is designated by the Centers for Medicare and Medicaid Services (CMS) as the only organ procurement organization...problems and implement solutions.* Communicates with OurLegacy team leader, director on call and medical director… more