- AdventHealth (Maitland, FL)
- …prevention measures for our contracted managed care payers. The Medical Director is responsible for providing physician review of utilization, claims ... role you'll contribute:** As the physician advisor, the Executive Medical Director of Revenue Cycle educates, informs,...with the other medical directors..Participates with the Medical Directorate to review and develop … more
- Elevance Health (Altamonte Springs, FL)
- …May assist with implementation of cost of care initiatives. + May attend meetings to review UM and/or CM process and discusses facility issues. + Hires, trains, ... Services** is responsible for Behavioral Health Utilization Management (BH UM ), or Behavioral Health Case Management (BH CM) or...not limited to:** + Serves as a resource for medical management programs. + Identifies and recommends revisions to… more