- Elevance Health (Miami, FL)
- ** Director I Medicare Operations ** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of ... and Medicaid Services to transform federal health programs. The ** Director I Medicare Operations ** is responsible for directing multiple business function… more
- Humana (Tallahassee, FL)
- … Director is responsible for behavioral health care strategy and/or operations . The Behavioral Health Medical Director work assignments involve moderately ... requires an in-depth evaluation of variable factors. The Behavioral Health Medical Director actively uses their medical background, experience, and judgement to make… more
- Conviva (Daytona Beach, FL)
- …of our caring community and help us put health first** The Associate Operations Director , Clinic/Center Administration, plans and directs the work of ... care to patients in a clinical setting. The Associate Director , Clinic/Center Administration requires a solid understanding of how...the IPA network by recruiting providers and growing the Medicare Advantage population of the IPA. This will likely… more
- Conviva (Tampa, FL)
- …of our caring community and help us put health first** The Associate Medical Director serves as a health-care professional and capable of handling a variety of ... health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities...state of desired employment + Experience leading clinical practice operations + Demonstrate a high level of skill with… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Department including training and developing the team. + Responsible for managing the operations of the Quality of Care / Quality of Service Grievance Department. + ... and participates in committees as needed. + Knowledge of current Medicare Advantage and health plan operational and regulatory guidelines established by… more
- AdventHealth (Orlando, FL)
- …outpatients each year **The role you'll contribute:** The Care Management Facility Director has full accountability and oversight for the overall operations ... including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social… more
- WTW (Tampa, FL)
- …satisfaction. The Director must be a subject matter expert in Medicare , Qualified Health Plans, Health Reimbursement Arrangements and the processes related to ... Watson, managing the successful implementation of Individual Marketplace client solutions. The Director will work within the Individual Marketplace and will serve as… more
- University of Miami (North Miami, FL)
- …and neurosurgery programs. UHealth/SoLe Mia has an exciting opportunity for a full time Director , Patient Access with a hire date of December, 2024. Be part of the ... patient care. + Routinely evaluate current policies to continually improve operations and maintain compliance with JCAHO and other regulatory entities. Ensures… more
- AdventHealth (Orlando, FL)
- …and 125,000 outpatients each year **The role you'll contribute:** The Executive Director is responsible for the direction and management of operational, financial ... Perfusion, Surgical Services and the Tissue Bank. The OPO Director is one of such positions across the United...area (DSA) which is designated by the Centers for Medicare and Medicaid Services (CMS). The area consists of… more
- HCA Healthcare (Tallahassee, FL)
- …This position is incentive eligible. **Introduction** The North Florida Division Director of Ambulatory Clinical Quality will serve as the lead subject ... ambulatory locations and providers for HCA Physician Services Group. This Division Director of Ambulatory Clinical Quality provides oversight for the quality of care… more