- 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 (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- 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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- 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
- 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
- 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 reviews cases of diverse scope...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- CVS Health (Tallahassee, FL)
- …the Medical Director role you will provide oversight for medical policy implementation. You will participate in the development, implementation, and ... ensuring timely and consistent responses to members and providers. **As a Medical Director you will focus primarily on overseeing utilization review / quality… more
- 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
- 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
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director 's primary responsibility is the review of medical authorizations ... necessity of a given service, level of care, or medical item/supply. The Medical Director 's...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- 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
- Sumitomo Pharma (Tallahassee, FL)
- …As a leader in the Strategic Sourcing function, the Strategic Sourcing Associate Director will manage Category Management activities across a defined set of spend ... and services. Working collaboratively with internal Business Stakeholders, the Associate Director is expected to develop sound sourcing strategies, gain endorsement… more
- MyFlorida (Tallahassee, FL)
- DEPUTY COMMUNICATIONS DIRECTOR - 79010154 Date: Aug 22, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... 836043 Agency: Business and Professional Regulations Working Title: DEPUTY COMMUNICATIONS DIRECTOR - 79010154 Pay Plan: SES Position Number: 79010154 Salary: $70,000… more
- CenterWell (Tallahassee, FL)
- …Chief Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: + Lead comprehensive clinical ... our caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible for developing, implementing,… more
- Merck (Tallahassee, FL)
- …accounts and buying group customers alongside our Strategic Accounts Team. The Associate Director will play a critical role in engaging with CMO/CVO type roles in ... structures, building personal and professional relationships to create pull on our medical differentiation, access to discuss new products, and garner support from… more
- CenterWell (Tallahassee, FL)
- …Appropriate certification to write prescriptions under the authority of a Collaborating Physician/ Medical Director + Experience working within EMR + Senior care ... of our caring community and help us put health first** The Associate Director , Advanced Practice Provider, NP is a leadership position that applies advanced… more
- Huron Consulting Group (Tallahassee, FL)
- …our team and create your future **Position Summary** The Financial Research Director will partner with Huron Business Advisory (HBA) practice Managing Directors and ... range** for this job is: $140,000 - $200,000 for Director level, $180,000 - $250,000 for Senior Director...eligible to participate in Huron's benefit plans which include medical , dental and vision coverage and other wellness programs.… more
- Hilton (Tallahassee, FL)
- …and analytics functions\! **What will I be doing?** As a Senior Commercial Director , Focused Service, you will develop a commercial strategy and supporting tactics ... Franchise team reporting to the Vice President & Commercial Director , Brand and Franchise, you will lead and lead...like to be on Team Hilton\! It is the policy of Hilton to employ qualified persons without regard… more
- Hilton (Tallahassee, FL)
- …growth strategy through the addition of new hotels to our portfolio\! As a Director of Development, you will partner with owners and investors to grow our managed ... leading brands in the hospitality industry\. Reporting to the VP Managing Development Director SW Region, you will focus on developing hotels within the Southwest… more