• Medical Director - Florida

    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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical more
    Humana (10/29/24)
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  • Medical Director - South Central

    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 ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (10/29/24)
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  • Medical Director - Acute Rehab Team

    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 ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (11/05/24)
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  • Medical Director - Mid West Region

    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 ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
    Humana (10/29/24)
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  • Part-time/Remote Medical Director

    Highmark Health (Tallahassee, FL)
    **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
    Highmark Health (09/24/24)
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  • Medical Director -Musculoskeletal…

    Evolent Health (Tallahassee, FL)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of ... development of questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into the types of cases to review.… more
    Evolent Health (09/10/24)
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  • Medical Director - Pharmacy Appeals

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the analysis of situations or data requires a case by case… more
    Humana (11/02/24)
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  • Child / Adolescent Behavioral Medical

    Centene Corporation (Tallahassee, FL)
    …on workplace flexibility. **_Florida Residency Required_** **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve… more
    Centene Corporation (10/17/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Tallahassee, FL)
    …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate … more
    Humana (10/29/24)
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  • Medical Director - Florida Medicaid

    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 ... of Florida primarily, and the Southeast Region (KY, LA and WV). This Medical Director will be a "Work from Home" position primarily supporting the Aetna Florida… more
    CVS Health (10/04/24)
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  • Senior Medical Director

    Takeda Pharmaceuticals (Tallahassee, FL)
    …knowledge. **Job Description** **About the role:** Join Takeda as a Senior Medical Director , Pharmacovigilance in Gastrointestinal and Inflammation (GI2). You ... for presentations to the Takeda Safety Board and similar forums. The Senior Medical Director will be a key player in the preparation and presentation of… more
    Takeda Pharmaceuticals (10/18/24)
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  • Medical Director - Medicare Appeals

    CVS Health (Tallahassee, FL)
    …a remote based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Medicare Appeals. * Direct daily work on ... System eg, Clinical Practice or Health Care Industry * Medical License (MD) or (DO) * An Active state... License (MD) or (DO) * An Active state medical license without encumbrances * Board Certified in ABMS… more
    CVS Health (10/31/24)
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  • Regional Medical Scientific Director

    Merck (Tallahassee, FL)
    **Job Description** **Role Summary** + The Cardiovascular & Metabolism Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) ... questions about Company products. The work of a Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support,… more
    Merck (10/25/24)
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  • Oncology Regional Medical Scientific…

    Merck (Tallahassee, FL)
    …in the assigned territory (Boston area). **Role Summary** + The Oncology Regional Medical Scientific Director - Head & Neck Cancers/Melanoma is a credentialed ... questions about company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support,… more
    Merck (10/22/24)
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  • Oncology Regional Medical Scientific…

    Merck (Tallahassee, FL)
    **Job Description** The Oncology Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... bidirectional exchange of scientific or medical information with Scientific Leaders (SLs). The role provides...RMSD serves as a role model for other field medical team members in ways that include on-boarding and/or… more
    Merck (10/30/24)
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  • Associate Director , Medical Writing…

    Takeda Pharmaceuticals (Tallahassee, FL)
    …order to bring life-changing therapies to patients worldwide. Join Takeda as a Associate Director Medical Writing where you will be responsible for medical ... presentation and interpretation. In addition to project responsibilities, the Associate Director , Medical Writing is responsible for non-project related… more
    Takeda Pharmaceuticals (10/05/24)
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  • Director , Medical Affairs, Cardiac…

    J&J Family of Companies (Tallahassee, FL)
    …Senior Director , Global Medical Affairs & Clinical Research, the Director Medical Affairs North America will manage and support academic educational ... of cardiac unloading and cardiac recovery in the specialist community. The Director Medical Affairs will be an integral part of the Global Medical more
    J&J Family of Companies (10/15/24)
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  • Executive Director , Payor Medical

    CVS Health (Tallahassee, FL)
    …transformation, and administrative support. CVS Accountable Care is seeking an Executive Director , Payor Medical Economics to join our growing organization. In ... we have worked together with diverse partner types including Academic Medical Centers, Federally Qualified Health Centers, Clinically Integrated Networks, and… more
    CVS Health (11/03/24)
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  • Medical Director

    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 ... **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions,… more
    Highmark Health (10/23/24)
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  • Center Medical Director (CMD)

    CSL Plasma (Tallahassee, FL)
    …across multiple sub-families in the Plasma Operations Job family group. **Our Benefits** We encourage you to make your well-being a priority. It's important and so ... are you. Learn more about how we care (https://www.cslplasma.com/careers/how-do-we-care-for-you-as-csl-plasma) at CSL. **About CSL Plasma** CSL Plasma is one of the world's largest collectors of human plasma. Our work helps to ensure that people with rare and… more
    CSL Plasma (10/14/24)
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