- Centene Corporation (Tallahassee, FL)
- …be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... national organization offering competitive benefits including a fresh perspective...operation of initiatives and programs focused on improvement in pharmacy quality measures (Part D Patient Safety Measures, HEDIS,… more
- Huron Consulting Group (Tallahassee, FL)
- …structures and improving operational workflows within post-acute settings + Seeking specific clinical leadership experience in specialty pharmacy with a focus on ... and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient...within a consulting firm setting with a focus on pharmacy + Specific experience in cost and expense management… more
- Prime Therapeutics (Tallahassee, FL)
- …Pharmacy clients and potential new clients. Required to serve as a Medical Pharmacy clinical resource throughout the organization and support all clinical ... Pharmacy clients and potential new clients. Required to serve as a Medical Pharmacy clinical resource throughout the organization and support all clinical … more
- CenterWell (Tallahassee, FL)
- …Associate Director , Clinical Coding Education (RN) role will report to the National Director , Clinical Education, and work as a thought partner with ... care model in the primary care network. The Associate Director , Clinical Coding Education (RN) will develop,...or project manager. + As a team leader in National Clinical Education team, be an ambassador… more
- HCA Healthcare (Tallahassee, FL)
- …Do you want to join an organization that invests in you as a(an) Clinical Resource Director ? At HCA Florida Capital Hospital, you come first. HCA ... make a difference. We are looking for a dedicated Clinical Resource Director like you to be...need: + Bachelor's degree required (Business, Health Administration, Nursing, Pharmacy or other Allied Health Profession) with related experiences… more
- Wolters Kluwer (Tallahassee, FL)
- …including: + Expertise in pharmacy operations and leadership in clinical pharmacy , drug diversion, and reimbursement/finance. + Successful preparation for ... on the posting) **OVERVIEW** You will coordinate and implement clinical programs that meet the needs of our external...individual contributor role. You will report to the Associate Director , Specialized Pharmacy Consulting. **DUTIES** You will… more
- CVS Health (Tallahassee, FL)
- … clinical leadership to various internal departments (eg, specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal, ... a Medical Director (Medical Affairs). The Medical Affairs department provides clinical business support to the entire enterprise and provides clinical … more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Sr Director , Value Based Pricing - Preferably on the West Coast **Job Description Summary** ... successful relationships with internal customers (ex. Finance, Accounting, Rebate Operations, Clinical and Account Management Staff). + Serves as Preferred Drug List… more
- CenterWell (Tallahassee, FL)
- …of our caring community and help us put health first** The Associate Director , Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, ... other payers, and over government agencies. In addition, the Associate Director , Risk Adjustment oversees all medical coding education activities. The Associate… more
- CVS Health (Tallahassee, FL)
- …clinical practices, utilization management, care management, claims adjudication, pharmacy utilization, quality improvement, grievance and appeals, policies and ... comprised of utilization management, quality management, network management and clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral… more
- Evolent Health (Tallahassee, FL)
- …Behavioral Health Medical Director to be a member of the Evolent clinical team. As a collaborative member of a team of clinicians, physicians, pharmacists, ... You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the utilization...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Evolent Health (Tallahassee, FL)
- …for designated client partners, including the CEO, CFO, CMO, pharmacy leadership, clinical operations/UM, medical economics/actuarial services/analytics, and ... for the mission. Stay for the culture. **What You'll Be Doing:** **Senior Director , Partner Operations** The Senior Director , Partner Operations serves as… more
- Conviva (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety of medical records ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Director , Medical Coding requires an in-depth understanding of how organization capabilities… more
- Centene Corporation (Tallahassee, FL)
- …with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. + Participates ... be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, … more
- Prime Therapeutics (Tallahassee, FL)
- …passion and drives every decision we make. **Job Posting Title** Senior Director , Product Development & Innovation **Job Description Summary** Provide leadership in ... and launching new products and enhancements. **Job Description** The Senior Director , Product Development and Innovation is accountable for the development and… more
- Takeda Pharmaceuticals (Tallahassee, FL)
- …the role:** Under the direction of the US PDT Vice President of Sales and National Head of IHS Sales, the Integrated Health System Director (IHSD) manages all ... Management Team). + With direction and partnership from the National Head of Sales, the IHSD will be responsible...+ Manage in a complex matrix environment including sales, clinical , solutions and services + Excellent project management skills… more
- CVS Health (Tallahassee, FL)
- …health care more personal, convenient and affordable. **Position Summary** As the Director of Commercialization and Growth, part of the Health Care Delivery business ... with cross-functional teams (sales, strategy, product, marketing, finance, actuarial, clinical , sales operations, contracting, partner success, etc.) to develop… more
- Evolent Health (Tallahassee, FL)
- …Payer Data Warehouse datasets and Evolent Data Warehouse tables, including medical, pharmacy and ancillary claims data, membership data, clinical operational ... 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
- Prime Therapeutics (Tallahassee, FL)
- …passion and drives every decision we make. **Job Posting Title** Clinical Program Pharmacist Principal/Configuration exp required- REMOTE **Job Description** The ... Principal Clinical Program Pharmacist is responsible for implementing the strategy...Other duties as assigned **Minimum Qualifications** + Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy … more
- CenterWell (Tallahassee, FL)
- …us put health first** + Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. + Conducts/delegates the assessment ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more