- 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
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Demonstrates clinical proficiency with healthcare performance measures including HEDIS, Medicare Stars, Pharmacy Quality Alliance (PQA) and Medicare specific ... to objectively and systematically monitor and evaluate the quality and appropriateness of clinical and non- clinical care and services provided to members. Key… more
- AbbVie (Miami, FL)
- …Aesthetics on LinkedIn. Allergan Aesthetics | An AbbVie Company Job Description Associate Director , Health Policy and Government Affairs, will focus on the impact of ... and provider reimbursement. This position will call on managed care organizations, Medicare MACs, state Medicaid, Medicare Advantage and commercial plans to… 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
- 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
- Conviva (Tamarac, 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
- 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 ... and reports on all supplemental Federal and State reimbursement matters. Administers Medicare and Medicaid audits and prepares all supporting work papers and… more
- Trinity Health (Fort Lauderdale, FL)
- …Nursing Officer (CNO), Chief Quality and Patient Safety Officer, Director of Clinical Quality Management, Medical Director of Infection Prevention and ... implementation of Infection Prevention and Control programs in coordination with medical , nursing, and ancillary leadership across Holy Cross Hospital. **_What you… 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)
- …leased facilities for continuous and ongoing compliance with the Center of Medicare & Medicaid Services Conditions of Participation. + Compiles and analyzes ... conducted by AHJ. + Produces the executive framework in conjunction with the Director of Continuity and Compliance, that that provides best practices and systematic… more
- Trinity Health (Fort Lauderdale, FL)
- …with experience in working in a complex delivery system with a multi-specialty medical group and a Medicare Advantage health plan. **Physical and Mental ... and a minimum of five years' experience as CFO, controller or finance director in a hospital setting or complex service organization is required. A personal… more