- Humana (Tallahassee, FL)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Sedgwick (Miami, FL)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director - Complex Claims **PRIMARY PURPOSE** **:** To be responsible for ... negotiation, mediation, arbitration, or ADR skills on higher value complex claims . Management experience preferred. Specific jurisdictional expertise required.… more
- GuideOne Insurance (Tampa, FL)
- …etc.), submits monthly reports detailing unit activity and results to line of business director and senior claims management as requested. + Responsible for ... to use commonly-used concepts, practices and procedures within the claims and management fields. + Complete formal...and AD&D, long-term disability and short-term disability insurance + Medical , dental and vision plans to meet your unique… more
- 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 (Tallahassee, FL)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- AdventHealth (Ormond Beach, FL)
- …policies and procedures. The Director manages the Ambulatory Services Risk Management & Patient Safety Department and the Medical staff department. The ... Dr, Ormond Beach, 32174 **The role you'll contribute:** The Director of Ambulatory Services Risk Management &... Director will also provide support to the Medical Executive Council and other governance committees. Actively participates… more
- Merck (Tallahassee, FL)
- **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
- Humana (Tallahassee, FL)
- …of our dynamic Wisconsin leadership team in this position as the Director , Consumer Service Operations. This position works with insurance companies, providers, ... members, and collection services in the settlement of claims through Call Center operations. Comprised of a team of claims associates researching & resolving the… more
- Western Digital (Tallahassee, FL)
- …of action. + Develop, formulate and coordinate property and casualty insurance claims control function at all locations. + Continue review of existing safety, ... environment, loss prevention, employment and security programs as related to the management of risk or accidental loss. + Maintain historical record of all losses,… more
- Molina Healthcare (FL)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Humana (Tallahassee, FL)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- AdventHealth (Tampa, FL)
- **Overview** AdventHealth West Florida Division Women's Services Institute is seeking a Medical Director . The director 's medical specialty can be OB/Gyn, ... AHMG Leadership in its investigation of patient complaints and/or claims related to the stated practices + Advise AHMG...management and resolution of complaints from patients and Medical Staff; + Make or direct the making of… more
- Florida Atlantic University (Boca Raton, FL)
- …issues are corrected (ie trip hazard, concrete cracks, etc.). Work closely with Risk Management when claims due to failed applicable PP systems happen. This ... their existing Workday employee account. Position Summary: Florida Atlantic University is seeking a Director of Physical Plant - Boca Raton, FL. The Director of… more
- HomeSafe Alliance (Jacksonville, FL)
- **Title:** Director of International, Global Household Goods Moving Services **_HomeSafe Alliance_** is the single global household goods movement manager of over ... the Role** HomeSafe Alliance is seeking a highly skilled and motivated Director of International, Household Goods Moving Services to drive optimization and improve… more
- Celestica (Orlando, FL)
- …**Functional Area:** Supply Chain Management (SCM) **Career Stream:** Supply Chain Management (SCM) **Role:** Director 1 (DR1) **Job Title:** Director , ... a dynamic market environment. **Detailed Description** We are currently seeking a ** Director , Strategic Supply Chain Management (Capital Equipment)** to join our… more
- Brunswick (Edgewater, FL)
- …will help transform vision into reality:** Position Overview: The Boston Whaler Director of Quality will be responsible for developing and implementing quality ... culture of quality and continuous improvement throughout the organization. The Quality Director will be responsible for both internal and external quality metrics… more
- Baylor Scott & White Health (Tallahassee, FL)
- … claims data to uncover trends and assist in managing and understanding incurred medical and pharmacy cost. - The Director will design, develop, and support ... **Position Overview:** Reporting to the VP, Value-based Care Analytics, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott &… more
- Jacobs (Tampa, FL)
- …the Client. You'll provide input and analysis as needed to support client claims management . You'll liaise with internal and external airport stakeholders during ... Our onsite Program Management team in Tampa, FL is looking to...is looking to add an experienced and collaborative Deputy Director of Construction to support Master Plan projects at… more
- ChenMed (Miami, FL)
- …expanding and we need great people to join our team. The Associate Director of Pharmacy & Dispensing is responsible for the operation of the Dispensing/Pharmacy ... program for ChenMed, et. al Medical Centers. This position is also responsible for execution...for execution and implementing policies and procedures. The Associate Director , Pharmacy communicates effectively with providers and staff, makes… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Actuarial Director , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Director , Actuarial Analytics/Forecasting requires an in-depth understanding of how organization… more