We interpreted Midway, FL as Midway, FL. Other options include: Midway (Seminole County), FL
- Humana (Tallahassee, FL)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Caris Life Sciences (Tallahassee, FL)
- …and develop relationships to targeted National Payer key stakeholders from medical director , network management , and claims management . + Inform ... in-network contracts with National Payers. + Manage BCBS Caresourcing relationship. + With medical policy team, drive improved medical policies and adoption of… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Centene Corporation (Tallahassee, FL)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. This ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
- Humana (Tallahassee, FL)
- …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...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Evolent Health (Tallahassee, FL)
- …including the CEO, CFO, CMO, pharmacy leadership, clinical operations/UM, medical economics/actuarial services/analytics, and vendor management . **Performance ... Management ** - maintain overall accountability for medical expense and P&L performance of designated client partners, including the facilitation of… more
- J&J Family of Companies (Tallahassee, FL)
- …safety data, international regulatory safety databases, and other data sources, eg, claims and electronic medical records. This position develops and implements ... Associate Director , Signal Detection Scientist - 2406212640W **Description** Johnson...position is to lead the implementation of the Signal Management Group's aggregate surveillance strategies for proactive and systematic… more
- Cardinal Health (Tallahassee, FL)
- …future. The Director , Managed Care is responsible for strategy and management of managed care contracts and relationships with payers. They are responsible to ... implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing contracting… more
- Sumitomo Pharma (Tallahassee, FL)
- …a dynamic, highly motivated, and experienced individual for the position of ** Director , Market Access Insights** to support US Market Access strategic and tactical ... navigating complex organizational structures / experience in highly matrixed environments. The Director will be a member of the Commercial Insights team. This… more
- Takeda Pharmaceuticals (Tallahassee, FL)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- Evolent Health (Tallahassee, FL)
- …core Payer Data Warehouse datasets and Evolent Data Warehouse tables, including medical , pharmacy and ancillary claims data, membership data, clinical ... a growth mindset as we solve complex business problems. **Collaboration Opportunities** The Director , Client Analyst role will be serving as a strategic advisor to… more
- Sedgwick (Tallahassee, FL)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director SAP Program **PRIMARY PURPOSE** **:** Directs the strategic planning, ... of SAP FICO and BRIM Solution Components, including Subscription Order Management (SOM), Convergent Charging (CC), Convergent Invoicing (CI), Contract Accounting… more
- Evolent Health (Tallahassee, FL)
- …models using healthcare data (ie, both structured and unstructured data from operations, claims , and medical charts) to solve complex problems, drive innovation, ... in everything from scrubs to jeans. **Position summary** As an Associate Director , Data Scientist (Machine Learning Engineer), you will be responsible for… more
- MyFlorida (Tallahassee, FL)
- 68064934 - MEDICAL /HEALTH CARE PROGRAM ANALYST Date: Oct 1, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 833541 Agency: Agency for Health Care Administration Working Title: 68064934 - MEDICAL /HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number: 68064934… more
- Kepro (Tallahassee, FL)
- …minimal disruption. + Act as the primary liaison between peer reviewers, the Medical Director , and additional team members, facilitating clear and constructive ... organization, your contribution will be pivotal in the precise management of our claims tracking system. Your...and communicate effectively with the team and supervisors. + Medical terminology knowledge is beneficial but not mandatory. +… more
- Prime Therapeutics (Tallahassee, FL)
- …+ Experience writing SQL queries + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... as assigned **Minimum Qualifications** + Bachelor's Degree in Business Administration, Management , Economics or related area of study, or equivalent combination of… more
- Evolent Health (Tallahassee, FL)
- …leaders across the organization, training and development, provider relations, member services, claims management and our implementation team will also be ... plans and serves in a supporting role to the Director , Intake and Utilization Management Operations. +...population management or managed care/insurance or hospital medical management department setting may be substituted… more
- MyFlorida (Tallahassee, FL)
- …Florida Division of Alcoholic Beverages and Tobacco. This position reports to the Director of the Division. The selected applicant will be expected to demonstrate, ... Licensing facilitates a variety of regulatory functions for the issuance and management of alcoholic beverage, cigarette, nicotine, and tobacco wholesale and retail… more
- Prime Therapeutics (Tallahassee, FL)
- …value based contracts, provider accountable care organization pharmacy metrics, medical policy, utilization management , medication adherence, and medication ... learning, predictive modeling, and reporting for complex pharmacy and medical health insurance clinical programs and services (eg, pharmaceutical manufacturer… more
- MyFlorida (Tallahassee, FL)
- …Career Service, or appointment in the Selected Exempt Service (SES) or Senior Management Service (SMS) unless they are registered with the Selective Service System ... performs a significant role in personnel administration by advising the agency Director of Human Resources and agency managers in personnel matters involving state… more