- 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 ... Candidates must be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the administration of physical and/or… more
- Molina Healthcare (Miami, FL)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- University of Miami (North Miami, FL)
- …implemented and adhered to. + Meets on a regular basis with the Medical Director , Hospital Administrator, Senior Clinical Administrators & Executive Director ... 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
- Humana (Miramar, FL)
- …our caring community and help us put health first** The Associate Director , Branch Administration responsible for administration and/or management of branches The ... Associate Director , Branch Administration requires a solid understanding of how...is accurate and reflective of client condition and meets Medicare guidelines. + Directs and evaluate all operations and… more
- Elevance Health (Miami, FL)
- **Process Improvement Director -HEDIS** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1hour commute from the ... posted Elevance Health locations. This **Process Improvement Director -HEDIS** will be responsible for enterprise HEDIS improvement and governance programs, with… more
- University of Miami (Miami, FL)
- …when necessary + Performs other duties as assigned by the Chief and/or clinic Medical Director + Experience with Medicare Advantage (65+) patient population ... evaluations. This role also works directly with staff, administration, medical directors, and other relevant stakeholders to assure appropriate...preferred + Completion of Medicare annual wellness exam documentation preferred + Knowledge of… more
- University of Miami (Medley, FL)
- …and maintains high-level accounting financial records and reports and assists the Director of Health System Pricing and Reimbursement in all physician and hospital ... reports on all supplemental Federal and State reimbursement matters. + Administers Medicare and Medicaid audits and prepares all supporting work papers and… more
- ChenMed (Miami, FL)
- …manages, executes, measures and optimizes local marketing plans for each medical center, including situational analyses of local markets (SWOT, competitive analysis, ... target market analysis, etc.). + Partners with the Associate Director of b2b marketing (Payors and brokers) and the...within a fast-paced environment + Understanding of value-based care, Medicare , Medicare Advantage, selling seasons, and the… more
- HCA Healthcare (Plantation, 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
- 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
- HCA Healthcare (Tamarac, 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
- Molina Healthcare (Miami, FL)
- …therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics ... + Provides medication therapy management including examination of member medical records, performing a comprehensive medication review, and communicating with… more