• Medical Director - Home

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and… more
    Humana (11/06/24)
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  • Field Medical Director , Cardiology

    Evolent Health (Tallahassee, FL)
    …interpretation, guidelines and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key… more
    Evolent Health (11/15/24)
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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 ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (11/08/24)
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  • Medical Director - Florida

    CVS Health (Tallahassee, FL)
    Bring your heart to CVS Health . Every one of us at CVS Health...or be willing to obtain one. * In the Medical Director role you will provide oversight for ... purpose: Bringing our heart to every moment of your health . This purpose guides our commitment to deliver enhanced...and consistent responses to members and providers. *As a Medical Director you will focus primarily on… more
    CVS Health (11/14/24)
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  • Medical Director - Commercial…

    CVS Health (Tallahassee, FL)
    …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... home ) role and m** **ust have a California medical license and be willing to obtain an Arizona...and consistent responses to members and providers. As a Medical Director you will focus primarily on… more
    CVS Health (11/13/24)
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  • Medical Director - Florida Medicaid

    CVS Health (Tallahassee, FL)
    …Florida primarily, and the Southeast Region (KY, LA and WV). This Medical Director will be a "Work from Home " position primarily supporting the Aetna Florida ... care more personal, convenient and affordable. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company?… more
    CVS Health (10/04/24)
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  • Medical Director - Acute Rehab Team

    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 ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (11/05/24)
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  • Medical Director - Medicare Appeals

    CVS Health (Tallahassee, FL)
    …based (work at home ) based anywhere in the US.** Responsibilities of this Medical Director role are related to Medicare Appeals. * Direct daily work on ... in a Health Care Delivery System eg, Clinical Practice or Health Care Industry * Medical License (MD) or (DO) * An Active state medical license… more
    CVS Health (10/31/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Tallahassee, FL)
    **Become 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 scope and complexity ranging from moderate to substantial. The… more
    Humana (10/29/24)
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  • Medical Director - National Medicare…

    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 preauthorization ... requests for services. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an… more
    Humana (11/08/24)
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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 ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (10/29/24)
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  • Director , Business Development - Sonexus

    Cardinal Health (Tallahassee, FL)
    …that resides within the Cardinal Health Biopharma Solutions group within Cardinal Health . The Director , Sales & Business Development - Sonexus (TM) Access ... customer initiatives. This position will report to the Sales Director . This is a remote, work from home...a wide variety of benefits and programs to support health and well-being. + Medical , dental and… more
    Cardinal Health (10/31/24)
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  • Director , Business Development RWD/RWE

    Cardinal Health (Tallahassee, FL)
    …Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty Solutions, delivers comprehensive consulting, medical marketing and ... Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
    Cardinal Health (10/05/24)
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  • Associate Director Cloud Architecture

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Associate Director , Cloud Architecture designs, builds, and maintains data processing ... unstructured data to insights at enterprise scale. The Associate Director , Cloud Architecture requires an in-depth understanding of how...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (11/02/24)
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  • Administrative Director of GME

    HCA Healthcare (Tallahassee, FL)
    **Description** This position is incentive eligible. **Introduction** The Administrative Director of Medical Education (ADME) is responsible for maintaining ... administrative operations and maintain appropriate oversight and daily management of all medical education programs, which may also include undergraduate medical more
    HCA Healthcare (10/24/24)
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  • Director Case Management

    HCA Healthcare (Tallahassee, FL)
    …is incentive eligible. **Introduction** Do you have the career opportunities as a(an) Director Case Management you want with your current employer? We have an ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (11/05/24)
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  • Director , Business Development - Navista

    Cardinal Health (Tallahassee, FL)
    …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical , dental and vision coverage Paid time off plan ... oncology practices to deliver patient-centered cancer care. Navista, a Cardinal Health company, is an oncology practice alliance co-created with oncologists and… more
    Cardinal Health (11/06/24)
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  • Associate Director , Risk Adjustment Audit

    CenterWell (Tallahassee, FL)
    …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The Associate Director , Risk Adjustment...Director , Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, & HCPCS codes that are… more
    CenterWell (10/30/24)
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  • Director Emergency Services

    HCA Healthcare (Tallahassee, FL)
    …care in 21 states and the United Kingdom. We are looking for a Director Emergency Services for our HCA Florida Capital Hospital team where excellence creates ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (10/17/24)
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  • Director Med Surg Orthopedics

    HCA Healthcare (Tallahassee, FL)
    …care in 21 states and the United Kingdom. We are looking for a(an) Director Med Surg Orthopedics for our HCA Florida Capital Hospital team where excellence creates ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (09/06/24)
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