13 Medical Director And Reviewer Positions jobs in Miami.

Hiring now: Care Review Clinician Inp @ Molina Hea, Specialty Medical Dir @ Thrive Pet, Behavioral Health Medical @ Elevance H, Neurology Physician @ Atlantic M, Field Reimbursement Mgr @ Eversanami, Exam Coordinator @ Adtalemglo, Exam Coordinator @ Adtalem Gl, General Surgical Patholog @ Quest Diag.Explore more at jobswithgpt.com.

🔥 Skills

prior authorization (4) Medical Director (3) healthcare (3) inpatient services (2) clinical service requests (2) cost effectiveness (2) multidisciplinary teams (2) hospital acute care (2) financial responsibility (2) board certified (2)

đź“Ť Locations

Miami (9) Miramar (2) Fort Lauderdale (1) Pompano Beach (1)
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Molina Healthcare

Care Review Clinician, Inpatient Review (RN) Fort Lauderdale
Skills & Focus: inpatient services, clinical service requests, prior authorization, cost effectiveness, medical appropriate, compliance, multidisciplinary teams, Utilization Review, hospital acute care, evidence based clinical guidelines
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 3+ years hospital acute care/medical experience
Salary: $26.41 - $61.79 / HOURLY
Type: Full-time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Care Review Clinician, Inpatient Review (RN) Miami
Skills & Focus: inpatient reviews, clinical service requests, evidence-based clinical guidelines, medically appropriate care, cost-effective, financial responsibility, prior authorization, multidisciplinary team collaboration, Utilization Management Certification, hospital acute care
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 3+ years hospital acute care/medical experience.
Salary: $23.76 - $51.49 / HOURLY
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Specialist, Appeals & Grievances Miami
Skills & Focus: appeals, grievances, member complaints, provider complaints, research, resolution, medical records, claims processing, communication, regulatory guidelines
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: Min. 2 years operational managed care experience (call center, appeals or claims environment).
Salary: $21.16 - $38.37 / HOURLY
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Thrive Pet Healthcare

Specialty Medical Director Miami
Skills & Focus: Medical Director, Veterinarian, hospital leadership, patient care, veterinary care, multi-specialty, emergency hospital, continuing education, board certified, mentorship
About the Company: A multi-specialty and emergency hospital catering to the greater Miami area. Services encompass internal medicine, surgery, critical care, oncology, cardiology…
Experience: Doctor of Veterinary Medicine (DVM/VMD) or equivalent degree required, State Veterinary Board License and must be in good standing, Board Certified Veterinary Specialist.
Benefits: Progressive compensation model with competitive base salaries, paid time off, flexible scheduling, educational support,…

Elevance Health

Behavioral Health Medical Director- Psychiatrist Miami
Skills & Focus: Behavioral Health, Medical Director, Psychiatrist, Clinical reviews, Health care quality, Peer clinical reviews, Medical necessity reviews, Policy interpretation, Healthcare operations, Board certification
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 10 years of clinical experience
Type: Hybrid
Benefits: Medical, dental, vision, short and long term disability benefits, 401(k) + match, stock purchase plan, life insurance, …

Atlantic Medsearch

Neurology Physician Miami
Skills & Focus: Neurology, inpatient, outpatient, procedures, subspecialties, academic involvement, call shared, healthcare, medical center, metropolitan area
About the Company: Atlantic MEDsearch is a highly confidential search firm that provides resources for medical providers pursuing new opportunities & recruitment services for hea…
Salary: competitive salary
Type: Full time
Benefits: incentive, malpractice, 401K, relocation, partnership option and more
Neurology Physician Miami
Skills & Focus: Neurology, Physician, inpatient, outpatient, procedures, subspecialties, academic involvement, call shared, healthcare, medical services
About the Company: Atlantic MEDsearch is a highly confidential search firm that provides resources for medical providers pursuing new opportunities & recruitment services for hea…
Type: Full time
Benefits: Competitive salary, incentive, malpractice, 401K, benefits, relocation, partnership option

Eversana/Mitsubishi Tanabe Pharma America (Mtpa)

Field Reimbursement Manager Miami
Skills & Focus: field-based, patient access, key stakeholders, education, payer policy, prior authorization, neurology centers, collaborative territory plan, sales, market access
About the Company: EVERSANA Deployment Solutions offers competitive compensation, paid time off, company paid holidays, excellent training, employee development programs, 401K pl…
Benefits: competitive compensation, paid time off, company paid holidays, excellent training, employee development programs, 401K…

Elevance Health

Medical Director, Cardiology Miami
Skills & Focus: Medical Director, Cardiology, clinical case reviews, medical necessity, peer-to-peer consultations, healthcare, vascular surgery, evidence-based guidelines, clinical criteria, treatments
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 1 year of experience with clinical case reviews for medical necessity.
Salary: $205,470.72 - $337,559.04
Type: Hybrid
Benefits: Comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401k contribution.

Adtalemglobaleducation

Exam Coordinator Miramar
Skills & Focus: NBME, USMLE, exams, grading, student performance, eligibility requirements, degree audits, customer service, Salesforce, Banner

Adtalem Global Education

Exam Coordinator Miramar
Skills & Focus: NBME exams, student performance, eligibility requirements, customer service, clinical core clerkship, elective grades, USMLE score reports, degree audits, Salesforce, academic records
About the Company: Ross University School of Medicine (RUSM), an Adtalem Global Education institution, expands access and opportunity to students on the path to becoming skilled …
Experience: At least 3 years general office and/or customer service experience; Higher education experience preferred.
Salary: $17.15 - $27.36
Type: Full-time
Benefits: Health, dental, vision, life and disability insurance; 401k Retirement Program + 6% employer match; 15 Days of Paid Vac…

Quest Diagnostics

General Surgical Pathologist Pompano Beach
Skills & Focus: General Surgical Pathologist, anatomic pathology, pathology residency, board certified, healthcare information services, Breast Pathologists, Cytopathologists, case work, Dermatopathologists, collaborative environment
About the Company: Quest Diagnostics is the nation's largest physician and Laboratory Company focused on providing anatomic pathology, cancer diagnostic and healthcare informatio…
Experience: MD or DO degree plus accredited pathology residency. Must be board certified in anatomic pathology.
Type: Full-Time