- Centene Corporation (Tallahassee, FL)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
- Highmark Health (Tallahassee, FL)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Director , IT Portfolio Management for Enterprise Information Protection (EIP) develops and executes ... technology and innovation to improve and mature Humana's security posture. The Director develops and executes on programs defined to implement security controls,… more
- 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... is responsible for the administration of physical and/or behavioral health medical services, to ensure the… more
- Elevance Health (Miami, FL)
- **Medicare Medical Director ** Location: This position will work a hybrid model ( remote and office). The ideal candidate will must live within 50 miles of one ... able to work Eastern Time Zone hours. The **Medicare Medical Director ** is responsible for the administration...** is responsible for the administration of physical and/or behavioral health medical services, to ensure the… more
- Takeda Pharmaceuticals (Tallahassee, FL)
- …will inspire you and empower you to shine? Join us as an Associate Director , Data Configuration Engineer in our Cambridge, MA office. At Takeda, we are transforming ... transformation templates for reuse for study level configuration tasks. The Associate Director Data Configuration Engineer (DCE) oversees a team that configures and… more
- Compass Group, North America (Miami, FL)
- Morrison Healthcare We are hiring immediately for a Director of Nutrition Systems position! + Location: University of Miami Hospital, Sylvester Comprehensive Cancer ... only. + Schedule: Full time; 1-2 days per week remote with some weekend coverage as needed + Salary...the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership… more
- Prime Therapeutics (Tallahassee, FL)
- …**Job Posting Title** PBM Sr Business Intelligence Data Visual Consultant - Remote **Job Description** The Senior Data Visualization Consultant is responsible for ... engineering, physics, accounting, finance, economics, computer sciences or business/social and behavioral science or related area of study, or the equivalent… more
- AdventHealth (Altamonte Springs, FL)
- …we are even better. **Shift** : Full-time; Monday-Friday **Job Location** : Remote **The role you'll contribute:** Under general supervision of the Director ... you bring to the team:** . Demonstrates extending the healing ministry of Christ, through behavioral whole care standards of love me, make it easy, own it and keep… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …of Staff and serves as a key clinical resource for the Healthcare System Director and Chief of Staff. The DCOS's responsibilities include serving as the lead ... physician over Ambulatory Care, Mental Health & Behavioral Science, Spinal Cord Injury, Dental, Geriatrics and Extended...key advisor to the Chief of Staff (COS) and Director on clinical issues and assists in the administration… more
- Centene Corporation (Tallahassee, FL)
- …on best practice models and utilization management processes + Interact with the Medical Director , or designee, to discuss clinical authorization questions and ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Centene Corporation (Tampa, FL)
- …generate written summary of findings and follow up as directed by the Medical Director and/or Credentialing and Quality Improvement Committee (QIC). + Document, ... to competitive benefits including a fresh perspective on workplace flexibility. ** Remote to Florida. MUST RESIDE IN FLORIDA.** **RN Strongly Preferred.** **Risk… more
- Bluestone Physician Services (Tampa, FL)
- …an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage patients' chronic ... determinants of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of care, Bluestone patients… more
- Bluestone Physician Services (Orlando, FL)
- …an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage patients' chronic ... determinants of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of care, Bluestone patients… more