- Elevance Health (Miami, FL)
- …reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral health ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...an entire clinical program and/or independently performs clinical reviews. + The Medical Director… more
- University of Miami (North Miami, FL)
- …are implemented and adhered to. + Meets on a regular basis with the Medical Director , Hospital Administrator, Senior Clinical Administrators & Executive ... Mia has an exciting opportunity for a full time Director , Patient Access with a hire date of December,...Information Management (HIM) to ensure that all facets of Medical Records processes are compliant with Medicare … more
- University of Miami (Medley, FL)
- …. The Department of UHealth Reimbursement is currently seeking a full time Director , Government Reporting and Reimbursement to work in Medley. The incumbent in this ... the AVP of Government Reporting and Reimbursement in all areas of Medicare and Medicaid reporting, including CDM management. CORE RESPONSIBILITIES + Assists with… more
- HCA Healthcare (Miramar, FL)
- …Healthcare colleagues invested over 156,000 hours impacting our communities. As an Assistant Director CBO with Surgery Ventures powered by HCA Healthcare, you can be ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...by location._** Come join our team as an Assistant Director CBO. We care for our communities and employees!… more
- CVS Health (Miami, FL)
- …the business; develops strategies to optimize financial results **For our Medicare Advantage provider-based business (Oak Street Health and value-based services):** ... * Supports evaluation of medical trends, revenue coding accuracy, payor performance, and adequacy...in the financial evaluation of new strategic directions, including clinical programs **Required Qualifications** + 15+ years of actuarial… more
- Conviva (Miami, FL)
- … medical expertise with the care team through daily huddles. * Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- HCA Healthcare (Miami, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding… more
- Humana (Doral, FL)
- …with physician orders and plan of care under the direction and supervision of the Director of Clinical Services/ Clinical Manager. Such care must be provided ... in Quality Assurance and Performance Improvement activities as assigned. Prepares clinical and progress notes. Assists physician with evaluating the level of… more
- HCA Healthcare (Miami, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding… more
- HCA Healthcare (Miami, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding… more
- University of Miami (Miami, FL)
- …a Full Time, Manager, Facilities & Operations to work at the UHealth Medical Campus. Core Summary The Senior Manager, Facilities & Operations administers leadership ... leased facilities for continuous and ongoing compliance with the Center of Medicare & Medicaid Services Conditions of Participation. + Compiles and analyzes… more