• Medical Director - Medical

    CVS Health (Tallahassee, FL)
    …**Position Summary** CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Double Board ... clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director ( Medical Affairs) will report into… more
    CVS Health (08/31/24)
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  • Behavioral Health Medical Director

    Humana (Tallahassee, FL)
    …audit, grievance and appeal and policy review. The Behavioral Health Medical Director will develop and present educational seminars on various behavioral ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (08/07/24)
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  • Medical Director - South Central

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (09/27/24)
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  • Medical Director - Acute Inpatient…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (08/27/24)
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  • Medical Director - Mid West Region

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (08/27/24)
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  • Part-time/Remote Medical Director

    Highmark Health (Tallahassee, FL)
    **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP... medical cost management, care management, quality and medical policy + Experience working in a… more
    Highmark Health (09/24/24)
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  • Health Systems Oncology Medical Affairs…

    Merck (Tallahassee, FL)
    …systems accounts + Serves as a resource for the HSO MAD Team Lead, HSO Executive Director Medical Affairs, and other members of Country Medical Affairs on ... **Job Description** **Health Systems Oncology Medical Affairs Director , US Medical Affairs - NorCal, NV, AZ** The Health Systems Oncology Medical Affairs… more
    Merck (09/27/24)
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  • Medical Director - Grievances…

    Humana (Tallahassee, FL)
    …a part of our caring community and help 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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (09/17/24)
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  • Executive Director , Global Medical

    Merck (Tallahassee, FL)
    **Job Description** The Executive Director , Global Medical and Scientific Affairs (EDMA) GYN Malignancies is accountable for the development and execution of ... scientific & medical affairs Value and Implementation (V&I) plans for their...Brand leaders. They collaborate with the Outcome Research (OR), Policy and Market Access. **Primary Responsibilities** **:** + Leads… more
    Merck (08/27/24)
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  • Medical Coding Director - Florida

    Conviva (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety of medical ... codes (eg, ICD-10-CM, CPT) to patient records. The Director , Medical Coding requires an in-depth understanding...from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Conviva (08/13/24)
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  • Behavioral Health Medical Director

    Humana (Tallahassee, FL)
    …our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The ... Behavioral Health Medical Director work assignments involve moderately complex...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (09/20/24)
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  • Director , GMSA Oncology Alliance…

    Merck (Tallahassee, FL)
    **Job Description** **Job Description:** The GMA Oncology Alliance Medical Affairs Director (Dir., AMA) is accountable for supporting Medical Affairs (MA) ... activities for external strategic alliances and partnerships. The Oncology Alliance Medical Affairs Director coordinates and supervises alliance MA activities… more
    Merck (10/03/24)
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  • Medical Director (National Accounts)

    CVS Health (Tallahassee, FL)
    Medical Director role you will provide oversight for medical policy implementation. You'll participate in the development, implementation, and evaluation ... of clinical/ medical programs and expand Aetna's medical management programs to address member needs across the continuum of care. You will support the Medical more
    CVS Health (08/31/24)
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  • Medical Director , Medicaid (Remote…

    Highmark Health (Tallahassee, FL)
    …most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical ... members. **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer… more
    Highmark Health (08/23/24)
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  • Associate Director , Clinical Coding…

    CenterWell (Tallahassee, FL)
    …Education, and work as a thought partner with Coding and Documentation Improvement Medical Director . The main responsibilities of the role are: + Determine ... clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence. +...from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    CenterWell (08/27/24)
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  • Associate Director , Risk Adjustment Audit

    CenterWell (Tallahassee, FL)
    …The Associate Director , Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, & HCPCS codes that are submitted to the Centers ... payers, and over government agencies. In addition, the Associate Director , Risk Adjustment oversees all medical coding...from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    CenterWell (08/21/24)
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  • Director , Services

    Verint Systems, Inc. (Tallahassee, FL)
    …opportunities. Learn more at www.verint.com . **Overview of Job Function:** The Director , Services (" Director ") is responsible for supporting the delivery of ... clients within an assigned geographic territory/segment. The over-arching goal of the Director is to drive profitable growth, maintain customer relationships and to… more
    Verint Systems, Inc. (09/13/24)
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  • Associate Director , Strategic Sourcing,…

    Sumitomo Pharma (Tallahassee, FL)
    …dynamic, highly motivated, and experienced individual for the position of **Associate Director , Strategic Sourcing - R&D and Supply Chain/TOQ.** The Associate ... Director Strategic Sourcing R&D and Supply Chain/Technical Operations &...that challenges traditional spending behavior, service level definition, and policy setting to enable productivity and efficiency improvements. The… more
    Sumitomo Pharma (09/20/24)
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  • Director , Quantitative Pharmacology…

    Merck (Tallahassee, FL)
    …of our Company's Research Laboratories is seeking a curious and collaborative Director to support our rapidly expanding ophthalmology pipeline. As a director ... molecules, biologics and non-traditional therapeutics like peptides, novel biological The Director is a skilled quantitative drug developer, with a strong,… more
    Merck (09/28/24)
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  • FL LTC- Director , Health Services

    Humana (Tallahassee, FL)
    …nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director , ... organization capabilities interrelate across the function or segment. The Director , Health Services uses clinical knowledge, communication skills, and independent… more
    Humana (09/25/24)
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