Physician Advisor Jobs in Tallahassee, FL

Champion health equity by guiding members towards effective self-management of their health conditions. Collaborate with care teams to develop personalized care plans that enhance wellbeing and optimi...

Champion innovation and strategy in utilization management, leading product vision and development. Drive transformative solutions to enhance healthcare efficiency while collaborating with cross-funct...

Join a team that's transforming client relationships in healthcare by driving success and maximizing the value of our solutions. Leverage your expertise to foster partnerships, ensuring top-tier care...

Engage in groundbreaking HIV clinical research as you oversee critical studies, train teams, and ensure compliance with regulations while advancing your career in a dynamic environment focused on pati...

Lead the development and execution of coding strategies while managing operations and staff to ensure compliance, quality, and efficiency in coding processes for optimal revenue cycle support...

Drive the vision for an enterprise data and analytics platform, leading a team to empower data-driven decision-making across all business functions while ensuring accuracy, governance, and scalability...

Drive the management and oversight of actuarial teams to implement effective pricing strategies and rate filings, ensuring compliance with regulations while supporting business objectives across vario...

Lead our Internal Audit Department to enhance operational excellence, ensuring compliance with Global Internal Audit Standards while managing budgets and mentoring staff to drive audit success and str...

Champion the development of impactful medical content and strategy, leading a team to drive excellence in scientific communication. Partner cross-functionally to enhance client relationships and ensur...

Lead the charge in strategic supply management across our national system, ensuring cost-effective sourcing, contracting, and logistics, while enhancing customer service and caregiver support through...

Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...

Advance client satisfaction and operational excellence by leading the Group Health Division, overseeing team performance, enhancing processes, and ensuring profitability while managing key metrics and...

Unlock your potential by managing the denial and appeal process in healthcare. Collaborate with clinical teams and payers to ensure accurate patient placements and optimize reimbursement while mitigat...

Drive Clinical Excellence by reviewing coverage determinations and conducting Medication Therapy Management (MTM) for Medicare Advantage members, ensuring compliance with CMS regulations and enhancing...

Engage in patient-centered care by delivering compassionate counseling and support for individuals undergoing multi-cancer early detection testing. Collaborate with cross-functional teams to ensure a...

Partner with us to redefine virtual primary care, delivering exceptional patient services through innovative telehealth solutions. Join our dedicated team to enhance health accessibility and effective...

Unlock potential by leading product development initiatives while collaborating with global teams to enhance technology solutions in revenue cycle management. Drive the vision, ensure quality, and mee...

Lead the charge in auditing medical records for accurate coding compliance and health plan policies. Prepare detailed reports, conduct relevant research, and maintain knowledge of healthcare guideline...

Lead product strategy to revolutionize the Risk Adjustment landscape, defining how data, AI, and clinical workflows integrate to enhance member health assessments and drive compliance across multiple...

Unlock potential by leading the design and administration of Oracle EPM systems. Collaborate with finance teams to ensure accurate planning models and reporting tools that drive insight for strategic...

Join us to conduct medical necessity reviews and appeals, enhancing care quality through collaboration and expert analysis of clinical documentation and payer regulations, ensuring compliance and impr...

Transform strategic client engagement and drive commercial growth through innovative solutions and senior-level relationship building to meet client objectives and enhance market positioning...

Elevate your career by leading enterprise strategy initiatives while collaborating with business unit leaders. This role focuses on translating enterprise direction into actionable plans, fostering al...

Join a team that's pivotal in advancing cardiometabolic diagnostics through strategic KOL engagement, insightful research, and collaboration within the medical community to improve patient outcomes gl...

Drive comprehensive care coordination for members with chronic needs, optimizing health outcomes through effective nursing assessments, collaboration, and education while maintaining a strong focus on...