Medical director jobs in Pinellas Park, FL - 277 jobs

GENERAL SUMMARY OF DUTIES: Responsible for the organization and supervision of all administrative and clinical activities for a physician practice with multiple clinics and endoscopy centers. Manages daily clinic and endoscopy operations and delegates work assignments to team members. Coordinates and oversees daily schedules, patient flow and customer service for all physician clinics and endoscopy centers within scope. REPORTS TO: Regional Practice Director RESPONSIBILITIES Duties include but are not limited to: Effectively displays and provides leadership to all staff and providers in a busy clinic and endoscopy setting Manages the day-to-day operations of physician clinics and endoscopy centers; identifies, analyzes, and resolves daily workflow issues Manages the recruiting, hiring, development, and evaluation of all clinical and non-clinical staff Ensures locations are appropriately staffed during all clinical and non-clinical hours; manages staff overtime to the needs of the clinics and endoscopy centers Manages physician schedules for multiple locations and visit types Monitors and manages the financial health of and contributions to United Digestive Champions relationship with physicians; conducts quarterly physician meetings Evaluates key performance indicators and financial metrics to drive decision making Abides by and promotes HIPAA compliance; maintains strictest confidentiality with regards to patient information Ensures all accreditation, CMS, and life/safety requirements are met and maintained Ensures all applicable procedures are scheduled in affiliated endoscopy suites Ensures all applicable ancillary services are scheduled within the practice Ensures requests for information and record releases are handled promptly and effectively to guarantee payment on patient accounts Interviews, hires, trains and develops all team members Conducts monthly team meetings to keep all informed of policies and procedures Acts as a communication link between the physicians, administration, clinics and endoscopy suites Ensures patients are treated courteously by team members and that other visitors are screened and properly directed Acts as the formal contact person for referring physicians and patient complaints Oversees and approves ordering and maintenance of all supplies and equipment Responsible for the acquisition of complete and accurate patient demographic and billing information Balances patient payments daily; oversees collection of charges for hospital services and ensures that demographics are accurately captured in practice management system Initiates and oversees marketing activities within local market; develops relationships with key referring physicians and practice managers Ensures mail is opened and processed appropriately Completes any other duties and or special projects as assigned REQUIRED EDUCATION, SKILLS, & EXPERIENCE High school diploma or GED required; Bachelors degree preferred, 2-3 years of clinic or endoscopy management experience with a concentration in healthcare policies, procedures, and systems. Manager must be proficient with scheduling, check-in, and medical records management as well as budgeting and inventory control. Manager must also be computer literate and able to operate multiple Microsoft Office applications. Experience with CMS and accreditation requirements preferred. ADDITIONAL SKILLS AND EXPERIENCE Manager must be able to: Possess the ability to deal with patients, visitors, co-workers, and physicians with courtesy and respect Display a professional outgoing warm and helpful attitude Understand key performance and financial metrics to drive decisions Possess compassion for dealing with people who are ill and need help Multi-task many different job needs and prioritize them effectively Work under pressure; assess, respond to, and communicate issues in a timely manner Interpret and apply clinical and non-clinical policies and procedures PHYSICAL/MENTAL/ENVIRONMENTAL DEMANDS Requires sitting and standing associated with a normal clinic environment; travel within the Metro Atlanta area required DRUG FREE WORKPLACE We are a drug free workplace. All offers of employment are contingent upon passing a pre-employment drug screening. EQUAL OPPORTUNITY EMPLOYER We are an Equal Opportunity Employer and do not discriminate on the basis of race, religion, gender, color or national origin in its employment practices.

About us: At Health & Psychiatry, nestled in the heart of Oldsmar, Florida, and with offices across Florida, our mission is to offer patients a compassionate health care experience marked with a deep sense of hope, health, and harmony through customized behavioral health care services Please see our website for all that we offer! ************************************ Key Responsibilities: Report directly to the Chief Medical Officer and CEO Collaborate closely with care Providers (ARNPs and PAs) and help remove their roadblocks Manage/supervise the daily operations - scheduling/check-in/check-out/medical station processing - to be handled in the most efficient manner on day-to-day basis Respond promptly to patient escalations (in office/over phone) and strive to remediate with courtesy and respect to all parties involved Organize and update patient records using electronic health records / EMR Establish and implement effective workplace procedures to create a highly efficient operation Update policies to ensure they are up to the latest industry standards and government regulations Maintain an upbeat work environment and motivate the staff Dealing with unhappy patients and fixing their issues regarding scheduling, medical billing & any medical related issues Education & Experience: 3-5 years experience in an outpatient healthcare /medical practice EMR experience is required (EClinicalWorks preferred) Basic understanding of medical billing Associate's Degree (required) Bachelor's Degree in a related field (preferred) Key Skills and Competencies: Strong interpersonal and communication skills Excellent leadership qualifications Organization and planning Problem-solving Confidentiality in handling sensitive information Integrity and professionalism Job Type: Full-time Benefits: Paid time off Ability to Relocate: Oldsmar, FL 34677: Relocate before starting work (Required)

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations can be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Plan Performance Medical Director serves as a lead clinician and oversees the administration of medical services for the individual ACA health plans across 17 states. This role involves managing the overall medical policies and clinical guidelines to ensure appropriate and cost-effective care. The Director also leads initiatives to direct the plan regarding cost of care and other strategic directives. Additionally, this position involves collaborating with market plan presidents during meetings with state regulators. How you will make an impact: * Supports the Medical Management staff to ensure timely and consistent responses to members and providers. * Provides guidance for clinical operational aspects of a program. * Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians. * May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. * Interprets existing policies or clinical guidelines and develops new policies based on changes in the healthcare or medical arena. * Leads, develops, directs and implements clinical and non-clinical activities that impact efficient and effective care. * Identifies and develops opportunities for innovation to increase effectiveness and quality. * Provides expertise, captures and shares best practices across regions to other medical directors. * May chair or serve on company committees, may be required to represent the company to external entities and/or serve on external committees. Minimum Qualifications: * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Requires active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Travels to worksite and other locations as necessary. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. Preferred Skills, Capabilities and Experiences: * Experience with clinical finance data, as well as medical cost and trend analysis. * Strong communication skills, including both presentation and writing abilities. * Proficiency in Excel and PowerPoint. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $262,752 to $450,432. Locations: California, District of Columbia (aka Washington, DC), Illinois, Maryland, Minnesota, Massachusetts, New York, New Jersey, Washington State. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Director Equivalent Workshift: Job Family: MED > Licensed Physician/Doctor/Dentist Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered. The National Accounts Medical Director is responsible for serving as the Operational Medical Director for our care management models for our National Account clients. The medical director will be responsible for supporting the clinical vision and implementation to deliver an improvement in the health of the people we serve. The medical director supports product strategy/design through medical management that impact health care quality, cost, and outcomes, and improving access to the health improvement tools offered to clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account reporting regarding use of medical services by members. Involved in identifying and managing medical utilization trends, emerging trends and market changes that impact the client and members. Responsible for proactively identifying and solutioning with account management, Sales RVP Medical Directors. How you will make an impact: * Day to day clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management. * Daily case reviews for both utilization and case management issues. (80/20 split) * Consistent adoption and implementation of all medical policies used for operational reviews. * Leading multidisciplinary rounds for case management /complex clinical management. * Peer-to-peer outreach for both utilization reviews and also for case management consultation with treating providers. * Clinical report reviews, trend management, benefit design consultation, and supporting overall clinical performance guarantee success. * The medical director will be responsible for supporting all state specific requirements that apply for each state where there is our business. Minimum Requirements: * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Must possess an active unrestricted medical license to practice medicine or a health profession. * Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. * Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. Preferred Qualifications: * Indiana MD license or compact state multi-licensure is preferred but not exclusive. * Board certification preferably in a Primary Health Specialty, Family or Internal medicine or Surgery (surgical specialty). * Knowledge and experience with population or segment health management is a plus. * Knowledge of the health insurance industry and the National Accounts segment is preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $ 250,236 to $411,102 Locations: Illinois, DC, Nevada. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

HealthAxis is a prominent provider of core administrative processing system (CAPS) technology, business process as a service (BPaaS), and business process outsourcing (BPO) capabilities to healthcare payers, risk-bearing providers, and third-party administrators. We will transform the way healthcare is administered in the United States by providing innovative technology and services that uniquely solve critical healthcare payer challenges negatively impacting member and provider experiences. We prioritize the well-being, needs, and dignity of individuals with empathy guiding all interactions. We embrace curiosity, foster creativity, and leverage technology to enhance healthcare accessibility and efficiency. We uphold the highest ethical standards, maintain transparency, and take responsibility to build trust. We drive excellence through teamwork, partnerships, and dedication to continuous improvement. We are committed to equitable, purpose-built healthcare solutions that benefit all communities. We're not just about business - we're about people. Our commitment to a people-first approach shapes everything we do, from collaborating as a team to serving our valued clients. We believe that creating a vibrant and human-centric environment can inspire engagement, empower our team members, and ignite a sense of purpose in all that we accomplish. PURPOSE & SCOPE: **This is a part-time position, 20-25 hours per week.** Your schedule will most likely be between Monday-Friday or depending upon business needs. Each of your shifts will be 4-5 hours in length. The Part-Time Medical Director of Utilization Management is responsible for working hand-in-hand with senior leaders to provide medical expertise and decision making within the Utilization Management team. This role will be responsible for ensuring that healthcare services are medically necessary, appropriately utilized, and meet the highest standard of quality. Adhere to standard Federal, State and/or CMS compliant medical policies within the organization. This role involves reviewing clinical cases, providing medical expertise, and collaborating with various stakeholders to ensure efficient and effective healthcare delivery. All departmental workflows and document retention must be adhered to by the Medical Director. At times, peer to peer phone and/or teams calls may be required based upon business and contractual needs. PRINCIPAL RESPONSIBILITIES AND DUTIES: Assists in development and maintaining an efficient UM program to meet the needs of the health plan members and commensurate with company values. Educates primary care physicians regarding systems, structures, processes and outcomes necessary for assurance of regulatory compliance related to market activities. Develops strategies for improving all aspects of market performance including RAPS, membership, and medical management. Participates in case reviews and medical necessity determination. Serve as a resource for clinical staff, offering guidance on complex cases and medical necessity. Conducts post service reviews issued for medical necessity and benefits determination coding. Maintains accurate and thorough documentation of activities and decisions. Analyzes aggregate data and reports to primary care physician. Serves as the liaison between physicians and health plan Medical Directors. Performs secondary review when prior authorization, initial and concurrent reviews do not meet medical necessity criteria or level of care appropriateness. Participates in the Grievance and Appeal review process to provide recommendations. Utilize clinical expertise to identify the salient points within a case review. Identify process improvements opportunities and inefficiencies. Interact with external physicians as needed - through secure messaging, text, and potential phone calls. Opportunity to be involved in additional responsibilities such as special projects, focus groups, new Medical Director training, or organizational committees. Collaborate with management and operations team members to propose strategic, operational, and technological solutions for improving quality. Other duties as assigned. EDUCATION, EXPERIENCE AND REQUIRED SKILLS: Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.) degree. Preferably, Board Certified Adult Psychiatrist Unrestricted license in at least one state within the United States. 5+ years of clinical practice experience. 2+ years of experience in utilization management activities. Proficiency with Microsoft Office applications. M.D or D.O and five (5) years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry. Board Certified by the American Board of Psychiatry and Neurology, and an active, unrestricted license to practice medicine in a state or territory of the United States. Previous experience with administrative oversight of the medical function of an insurance (or related) company. Previous experience leading a team of professionals. A strong perspective on how to increase operational excellence and automation through process improvement and technology partnerships. Strong interpersonal skills, with the ability to regularly interact with various client departments/project teams. An ability to balance critical thinking with hands-on execution. Forward-thinking strategic leader. Results-driven. Ability to work in a fast-paced and changing environment and react professionally under pressure. Self-starter with strong organizational skills. Excellent oral and written communication skills. COMPENSATION, BENEFITS, & WELL-BEING: At HealthAxis, we believe people do their best work when they feel valued, supported, and treated fairly. We take a transparent and people-first approach to compensation and benefits that reflects the expertise and impact each team member brings. The pay range for this position is $150.00-$160.00 per hour. Actual compensation within this range will be determined based on job-related factors, including but not limited to: skills, experience, geographic location, and internal equity. In addition to compensation, we offer a comprehensive benefits package designed to support your health, financial security, and work-life balance, including: Health insurance (Medical, Dental, and Vision coverage available) Flexible Spending and Health Savings Account options Company-paid life insurance and disability coverage 401K Retirement Plan with Company match Paid Time Off, paid holidays, and paid volunteer time Educational Assistance Program and professional development courses Employee Assistance Program and other wellbeing resources Fully remote work environment with flexible scheduling options Benefits are available to eligible full-time employees and may vary by location. HealthAxis is an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex (including sexual orientation, transgender status or pregnancy), age, disability, genetic information, military status, veteran status, marital status, political affiliation, or any other characteristic protected by applicable federal, state or local laws.

The Senior Regional Medical Director (SRMD) is responsible for the oversight of all Medical Staff within their region across all services lines. The SRMD will lead a team of Medical Directors, physicians, and advanced practice providers, implementing clinical best practices and driving clinical safety and quality initiatives. By partnering closely with the operations team, the SRMD will align clinical strategies with operational and organizational goals. The SRMD reports directly to the National Medical Director. We offer a supportive culture that is driven by deep commitment to the success of our patients and our teams. We invest in YOU and are dedicated to creating individualized opportunities for career advancement. In addition, we invest in our employees by offering: Up to $50K Sign-On Bonus! Competitive compensation package Outstanding work life balance Health, vision, and dental benefits 401K plan match Life insurance (100% company paid) PTO and paid holidays We invest substantial energy and resources in building a highly-engaged culture where your voice is heard, you are connected to a community of professionals who share your values, and you can thrive. Responsibilities Oversee all activities of the Medical Directors in their region with the goal of managing best practice performance as executed through the Medical Directors with an emphasis on following best practices in all aspects of the patient journey that the providers can impact. This is reflected in clinical performance KPIs. Serve as the Senior Medical Director for Office-Based Lab (OBL) functions, collaborating with operational leaders and physician service line directors to promote safe, high-quality, and cost-effective endovascular care across all service lines. Provide direct coaching to OBL physicians, in coordination with the National Medical Director. Drive the growth and development of UVVC endovascular service lines by staying current on advancements in vascular care through professional development and applying this knowledge to clinical strategies. Work with the National Medical Director to maintain alignment across the UVVC platform. Develop, implement and maintain comprehensive vascular care programs, ensuring the proper screening, evaluation, treatment and referrals for all patients. Drive clinic performance by monitoring Key performance Indicators (KPIs) such as conversion, modality mix and utilization. Monitor and improve clinical quality metrics, including medical necessity audits, vascular screening program, patient reported outcomes and patient satisfaction. Support the maintenance of Medical Coverage Guidelines for insurance plans, ensuring compliance through collaboration with Medical Directors. Participate in the recruitment, interviewing, and onboarding of new providers. Support Business Development team by providing clinical guidance to ensure messaging aligns with the organization's services lines and core values. Support organizational growth by identifying opportunities to expand clinical services and improve the patient care model. Demonstrate and promote a work culture committed to UVVC's Core Values: Understanding, Nurturing, Ingenuity, Trust, Excellence, and Diversity. Demonstrate behaviors that are consistent with UVVC's Standards of Conduct as outlined in our employee handbook and Code of Conduct. Maintain the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations. PHI is a top priority of our organization. Other duties as assigned. About us: UVVC, is a leading provider of comprehensive vein and vascular care with over 45 clinics across Arizona, Chicago, Colorado, Florida, Georgia, Texas, and expanding. Our mission is to revolutionize vascular care by delivering an all-inclusive clinic experience that addresses every aspect of lower extremity vein, vascular, and wound conditions. United Vein & Vascular Centers (UVVC) is distinguished by its innovative approach to diagnosing and treating a variety of vascular conditions that affect the pelvis and lower extremities. With a team of committed specialists, cutting-edge medical technology, and a patient-centric approach that emphasizes minimally invasive procedures, UVVC ensures superior care and optimal outcomes for it's patients.

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Medical Director will have program management responsibilities including clinical policy development, program development/implementation, and overseeing clinical/non-clinical activities. Will also be responsible for utilization review/management. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How you will make an impact: Supports clinicians to ensure timely and consistent responses to members and providers. Provides guidance for clinical operational aspects of a program. Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians. May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. Serves as a resource and consultant to other areas of the company. May be required to represent the company to external entities and/or serve on internal and/or external committees. May chair company committees. Interprets medical policies and clinical guidelines. May develop and propose new medical policies based on changes in healthcare. Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies and develops opportunities for innovation to increase effectiveness and quality. Minimum Requirements: Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. Preferred Qualifications: Clinical experience in a relevant specialty (Pediatrics, Family Practice, Internal Medicine, Geriatrics, Palliative Medicine, OB/GYN, Emergency Medicine) strongly preferred. Experience in managed care experience strongly preferred. 1-2 years utilization management review experience preferred. Knowledgeable of Medicaid/Medicare policies and guidelines strongly preferred. Job Level: Director Equivalent Workshift: Job Family: MED > Licensed Physician/Doctor/Dentist Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Job Description Join Evara Health-Driven by Purpose, Powered by People Evara Health provides essential, high-quality care to the communities who need it most through 17 centers and mobile units offering primary care, dental, behavioral health, pediatrics, and more. Evara Health is recognized for its innovative, team-based approach, commitment to community health, and dedication to making healthcare accessible for all. Our people fuel our impact. Team members come for the purpose and stay for the supportive culture and strong, community-focused teams. Build a career that goes beyond a job-it changes lives What you'll Do: Leadership in Clinical Excellence: As Medical Director, you will guide and support provider teams to ensure patient care is delivered at the highest quality and lowest cost. Comprehensive Oversight: You will oversee clinical policies, quality initiatives, and provider performance to align with best practices and organizational goals. Mentorship & Development: Provide supervision and mentorship to dental teams, fostering professional growth and consistency in patient care. Holistic Collaboration: Work alongside a multidisciplinary team to integrate dental services with primary care, behavioral health, and other community resources. Mission Alignment: Champion Evara Health's values of inclusion, integrity, and dignity while leading efforts that directly impact underserved populations. Why You'll Love Working Here Impact: Shape the future of care delivery by leading initiatives that improve clinical outcomes, strengthen provider performance, and elevate patient experiences. Growth: Expand your leadership skills through continuous professional development and engagement in strategic planning and innovation. Recognition: Be valued as both a clinical leader and a provider, with your contributions recognized across the organization and the community. Required Education & Experience Graduate of an accredited School of Dentistry. Completion of internship and/or residency. Licenses, Certification or Registration Valid Florida Dental License. Board Certified in Dentistry. Valid DEA Certificate (if applicable). Valid Basic Life Support (BLS) Certification. Culture & Benefits At Evara Health, we not only care for our communities but also deeply value the health and wellbeing of our team. Here's how we support our employees: Generous Time Off: 20 days of paid time off with an option to cash out unused day Holidays: 10 paid holidays and an additional day off for your birthday. Wellness Perks: Enjoy a free gym membership to support your health and fitness goals. Retirement Planning: 403(b) with 2% employer contribution up to 4% match Continuing Education: Tuition reimbursement eligibility which includes $1,500 per year and up to $2,000 annually in CME support, in addition to 3 days of CME leave. Comprehensive Insurance Plans: Medical, Dental, Vision, Life, Short & Long-Term Disability + extra coverage options. Employee Assistance Program (EAP): Confidential counseling, legal & financial advice through EAP At Evara Health, your career goes beyond a job. Thrive, grow, and help deliver life-changing care to the people who need it most.

Nemours Children's Hospital, Florida is currently seeking a Pediatric Intensivist to serve as the Medical Director of the Pediatric Intensive Care Unit (PICU) at Lakeland Regional Health Medical Center. The Medical Director should be dedicated to exceptional clinical care and have interests in administration, quality, research and education. The Carol Jenkins Barnett Pavilion for Women and Children at Lakeland Regional Hospital in Lakeland, Florida offers comprehensive care for children from birth to adulthood in collaboration with Nemours Subspecialty Physicians. The 12-bed PICU at Lakeland Regional Health has all private rooms with family friendly amenities. It is supported by a robust pediatric emergency room, recent expansion of surgical services and the addition of a pediatric trauma service. Responsibilities include designing clinical protocols, managing staffing and quality metrics, admitting patients from the Pediatric ED, rounding on patients in the PICU, consulting with the pediatric subspecialists, and promoting research and education for nurses, APPs, medical students and residents. Shifts are in-house eight hours per day and on call from home within 30 minutes response the remainder of the shift. Additionally, PICU APPs are in-house 12-hours overnight. Nemours providers at Lakeland Regional Health have access to more than 13 pediatric subspecialties on site as well as remote access to all the Nemours pediatric subspecialists located in Orlando. The Nemours Transport team provides critical care transport services to Nemours Children's Hospital, Florida for children requiring higher level care. Qualifications * Medical Degree (MD or DO) from an accredited medical school * Board certified in pediatrics and pediatric intensive care * Valid state medical license * 5+ years of clinical experience. What We Offer * No state income tax in the state of Florida * Annual incentive compensation that values clinical activity, academic accomplishments and quality improvement * Comprehensive benefits: health, life, dental, vision * Mortgage assistance, relocation packages and 403B with employer match, 457 retirement savings plans * Licensure, CME and dues allowance * Not-for-profit status; eligibility for Public Service Loan Forgiveness How to Apply/For Confidential Consideration If you are looking for a position that will allow you to enjoy a work-life balance, have an opportunity for professional growth, with a focus on pediatric critical care, this is the opportunity for you. For confidential consideration, please apply below. Have questions regarding the position? Click here to contact a recruiter. #LI-KC1

Nemours Children's Hospital, Florida is currently seeking a Pediatric Intensivist to serve as the Medical Director of the Pediatric Intensive Care Unit (PICU) at Lakeland Regional Health Medical Center. The Medical Director should be dedicated to exceptional clinical care and have interests in administration, quality, research and education. The Carol Jenkins Barnett Pavilion for Women and Children at Lakeland Regional Hospital in Lakeland, Florida offers comprehensive care for children from birth to adulthood in collaboration with Nemours Subspecialty Physicians. The 12-bed PICU at Lakeland Regional Health has all private rooms with family friendly amenities. It is supported by a robust pediatric emergency room, recent expansion of surgical services and the addition of a pediatric trauma service. Responsibilities include designing clinical protocols, managing staffing and quality metrics, admitting patients from the Pediatric ED, rounding on patients in the PICU, consulting with the pediatric subspecialists, and promoting research and education for nurses, APPs, medical students and residents. Shifts are in-house eight hours per day and on call from home within 30 minutes response the remainder of the shift. Additionally, PICU APPs are in-house 12-hours overnight. Nemours providers at Lakeland Regional Health have access to more than 13 pediatric subspecialties on site as well as remote access to all the Nemours pediatric subspecialists located in Orlando. The Nemours Transport team provides critical care transport services to Nemours Children's Hospital, Florida for children requiring higher level care. Qualifications Medical Degree (MD or DO) from an accredited medical school Board certified in pediatrics and pediatric intensive care Valid state medical license 5+ years of clinical experience. What We Offer No state income tax in the state of Florida Annual incentive compensation that values clinical activity, academic accomplishments and quality improvement Comprehensive benefits: health, life, dental, vision Mortgage assistance, relocation packages and 403B with employer match, 457 retirement savings plans Licensure, CME and dues allowance Not-for-profit status; eligibility for Public Service Loan Forgiveness How to Apply/For Confidential Consideration If you are looking for a position that will allow you to enjoy a work-life balance, have an opportunity for professional growth, with a focus on pediatric critical care, this is the opportunity for you. For confidential consideration, please apply below. Have questions regarding the position? Click here to contact a recruiter. #LI-KC1

Nemours Children's Hospital, Florida is seeking a Pediatric Cardiologist to lead our outpatient Cardiology team in Lakeland, Florida. We are seeking a Medical Director to join our Lakeland team of two dedicated providers and a nurse practitioner to help grow an already established and growing region. The Lakeland practice conducts outpatient clinic 5 days per week with full echo, fetal echo and exercise stress testing support. In addition, the team also provides inpatient consultative service and after hours call coverage to support Lakeland Regional Hospital. There is no requirement for in-person call coverage, however home outpatient call coverage for the region is expected. We are seeking individuals with a passion for both outpatient and inpatient consultative services that work well within a close-knit team. Requirements: Board certified pediatric cardiologist with demonstrated outpatient cardiology practice growth experience. Living in Lakeland, Florida, provides a mix of suburban tranquility and vibrant community life. Known for its numerous lakes and outdoor recreational opportunities, Lakeland offers a relaxed, family-friendly atmosphere. The city boasts historic districts, cultural attractions like the Polk Museum of art, and a bustling downtown with shops and eateries. With a mild climate year-round, residents enjoy outdoor activities such as boating, fishing and hiking. Lakeland also benefits from its central location in Florida, providing easy access to nearby cities and attractions like Orlando and Tampa. Polk County is the second fastest growing metropolitan region in the nation, with Lakeland, Winter Haven, Davenport and Plant City as the densest cities in the county. Nearly 200,000 children currently call the area home, with an anticipated 6% growth to 212,000 by 2027. The region ranks nine out of Florida's 67 counties for the largest population of children. With 849 beds, Lakeland Regional is the 5th largest Hospital in Florida seeing over 200,000 ER visits and 43,000 admissions per year, over 2,100 trauma visits annually, and more than 3,000 deliveries. Services are delivered in the new Carol Jenkins Barnett Pavilion for Women and Children which opened summer of 2018. This $275 million project has 300,000 square feet of stare-of-the-art inpatient and outpatient space including a 47-bed pediatric medical/surgical unit, a Pediatric Intensive Care Unit, the area's largest Level II NICU, and an expanded 22 bed Pediatric Emergency Department. Take a virtual tour: LRH Carol Jenkins Barnett Center for Women & Children Lakeland Regional Health City of Lakeland #LI-LC1 About Us Nemours Children's Health is an internationally recognized children's health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income. As one of the nation's premier pediatric health systems, we're on a journey to discover better ways of approaching children's health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child's world a place to thrive. It's a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever. Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families. To learn more about Nemours Children's and how we go well beyond medicine, visit us at *************** .

Full time DVM: Medical Director - Now Hiring + Competitive Salary + Generous Benefits A progressive and well-established veterinary clinic in Lakeland, FL is actively seeking a compassionate and skilled Veterinarian: Medical Director to join our team. This is an exciting opportunity to work in a modern facility with a supportive team that values high-quality care, client communication, and work-life balance. What We Offer: Competitive Base Salary + Quarterly Performance Medical, Dental & Vision Insurance 401(k) with Employer Match Generous Paid Time Off (PTO) & Paid Holidays Continuing Education (CE) Allowance + Paid CE Days Full Coverage for Licensing Fees (DEA, State, PLIT) No Overnight Shifts | Closed Sundays Career Development & Mentorship Opportunities Relocation Assistance & Commuter Benefits Available Your Responsibilities: Perform comprehensive physical exams and diagnostic workups Diagnose and treat a variety of medical conditions Develop and implement treatment plans Conduct routine and advanced surgical procedures Provide preventive care, wellness visits, and vaccinations Build trust with clients through clear and compassionate communication Ideal Candidate: Doctor of Veterinary Medicine (DVM) degree from an accredited institution Licensed (or eligible for licensure) in Florida Strong commitment to client care and veterinary excellence Team player with excellent interpersonal and communication skills Eager to grow professionally in a collaborative environment How to Apply: If you're ready to take the next step in your veterinary career in vibrant Lakeland, FL, we'd love to connect! 📧 Send your resume and cover letter to: ************************** 📞 Contact: Sam Ortiz, Senior Talent Acquisition Specialist 📱 ************** Equal Opportunity Employer We proudly provide equal employment opportunities and welcome applicants from all backgrounds. Join us in Lakeland, FL and make a lasting difference-one pet at a time!

General Description The Medical Director, Clinical is a key member of the Senior Leadership Team responsible for implementing and overseeing a high-quality integrated clinical practice model. The role provides direct supervision to providers within the assigned specialty and collaborates extensively with the CMO and clinical directors to support consistent clinical operations, efficient workflows, and excellent quality care across Premier Community HealthCare Group (PCHG). The Medical Director promotes clinical innovation and best practices to enhance operational performance and ensure safe, effective care. The position also includes the provision and management of direct patient care for a designated patient population. Essential Duties & Responsibilities • Drive organizational clinical priorities and develop strategies that improve outcomes and quality care in close partnership with the CMO • Support supervision of medical providers and collaborate on oversight and delegation matters • Support provider retention through mentoring, onboarding, and alignment with organizational standards • Contribute to policy development, long-range planning, and evaluation programs to meet departmental goals • Meet routinely with providers, advanced practice clinicians, and operational leadership to understand challenges, review goals, and support improvement • Partner with Learning & Development to design customized provider onboarding and development plans • Participate in clinical privileging, appointment, and re-appointment of medical staff • Serve as back-up to the Chief Medical Officer as needed • Collaborate with leadership to support care quality, documentation accuracy, EHR integration, and management of clinical incidents or medical emergencies • Assist senior leadership with identifying, managing, and implementing process and quality improvement projects • Develop process improvement plans with clear performance metrics, solutions, and resource planning • Adhere to patient care expectations and contribute to QI/QA programs • Ensure financial and patient service goals are met or exceeded according to standards • Identify workforce needs and develop plans to support provider growth and performance • Attend Board of Directors meetings as requested • Build strong provider teams through coaching, leadership development, engagement, and mentorship • Promote teamwork, trust, and a psychologically safe environment for all care team members • Represent Premier at organizational and community events and support community engagement initiatives • Promote accessible, patient-centered healthcare and service excellence • Maintain confidentiality and HIPAA compliance • Communicate issues that may impact patient flow or clinical operations • Support community outreach and Premier's mission-driven values • Drive performance improvement toward departmental goals • Perform other duties as assigned Supervisory Responsibilities • Direct supervision of providers within assigned service line, including daily operations and annual performance evaluations • Indirect supervision and support of non-clinical personnel as delegated Knowledge, Skills & Abilities • Strong understanding of specialty area and clinical operations • Ability to build effective relationships, support change management, and improve communication flow • Ability to manage multiple priorities with organization-wide impact • High ethical standards, professionalism, innovation, and alignment with Premier's mission • Strong verbal and written communication skills, including the ability to communicate with C-Suite • Experience managing complex projects and major initiatives • Ability to prepare content for monthly board reports • Effective interpersonal and conflict-resolution skills • Ability to inspire, influence, and motivate teams across disciplines • Ability to analyze trends, forecast needs, and develop strategic solutions Qualifications • Graduate of an accredited medical school • Board certified or board eligible in an appropriate medical discipline • Active license to practice medicine in the State of Florida • APRNs or PAs may be considered with prior Associate Medical Director (or higher) experience in an FQHC, or if a current Premier employee with demonstrated leadership talent • Ten (10) years of successful clinical practice experience • Minimum two (2) years of leadership experience • Experience with electronic health records (Epic strongly preferred) • Experience working in a multi-provider clinical practice • DEA license strongly preferred or ability to obtain • Eligible for hospital privileges as needed • Ability to obtain and maintain Epic certification and complete annual compliance requirements Working Conditions & Physical Requirements • Ability to lift 20 lbs. regularly and 30-50 lbs. occasionally • Ability to sit for prolonged periods • Ability to travel between PCHG clinics and occasionally to other sites or conferences • Direct exposure to computer screens • Possible exposure to infectious diseases

Evara Health provides essential, high-quality care to the communities who need it most through 17 centers and mobile units offering primary care, dental, behavioral health, pediatrics, and more. Evara Health is recognized for its innovative, team-based approach, commitment to community health, and dedication to making healthcare accessible for all. Our people fuel our impact. Team members come for the purpose and stay for the supportive culture and strong, community-focused teams. Build a career that goes beyond a job-it changes lives What you'll Do: Leadership in Clinical Excellence: As Medical Director, you will guide and support provider teams to ensure patient care is delivered at the highest quality and lowest cost. Comprehensive Oversight: You will oversee clinical policies, quality initiatives, and provider performance to align with best practices and organizational goals. Mentorship & Development: Provide supervision and mentorship to dental teams, fostering professional growth and consistency in patient care. Holistic Collaboration: Work alongside a multidisciplinary team to integrate dental services with primary care, behavioral health, and other community resources. Mission Alignment: Champion Evara Health's values of inclusion, integrity, and dignity while leading efforts that directly impact underserved populations. Why You'll Love Working Here Impact: Shape the future of care delivery by leading initiatives that improve clinical outcomes, strengthen provider performance, and elevate patient experiences. Growth: Expand your leadership skills through continuous professional development and engagement in strategic planning and innovation. Recognition: Be valued as both a clinical leader and a provider, with your contributions recognized across the organization and the community. Required Education & Experience Graduate of an accredited School of Dentistry. Completion of internship and/or residency. Licenses, Certification or Registration Valid Florida Dental License. Board Certified in Dentistry. Valid DEA Certificate (if applicable). Valid Basic Life Support (BLS) Certification. Culture & Benefits At Evara Health, we not only care for our communities but also deeply value the health and wellbeing of our team. Here's how we support our employees: Generous Time Off: 20 days of paid time off with an option to cash out unused day Holidays: 10 paid holidays and an additional day off for your birthday. Wellness Perks: Enjoy a free gym membership to support your health and fitness goals. Retirement Planning: 403(b) with 2% employer contribution up to 4% match Continuing Education: Tuition reimbursement eligibility which includes $1,500 per year and up to $2,000 annually in CME support, in addition to 3 days of CME leave. Comprehensive Insurance Plans: Medical, Dental, Vision, Life, Short & Long-Term Disability + extra coverage options. Employee Assistance Program (EAP): Confidential counseling, legal & financial advice through EAP At Evara Health, your career goes beyond a job. Thrive, grow, and help deliver life-changing care to the people who need it most.

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Candidates must reside in Florida near our Miami or Tampa locations. The Medical Director will support the following Florida Medicare plans: Simply Healthcare Plans, Healthsun Plans, Freedom Health, and Optimum Healthcare Plans and will be responsible for utilization review case management for these markets. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. How you will make an impact: Supports clinicians to ensure timely and consistent responses to members and providers. Provides guidance for clinical operational aspects of a program. Perform utilization management reviews to determine medical necessity and appropriateness of care, using nationally recognized criteria (e.g., MCG, InterQual, CMS guidelines). Collaborate with UM nurses and case managers to review inpatient admissions, outpatient procedures, and continued stays. Provide peer-to-peer discussions with treating physicians to discuss medical necessity decisions and care alternatives. Ensure timely and accurate completion of reviews in compliance with state and federal regulations, NCQA, and company standards. Serves as a resource and consultant to other areas of the company. May be required to represent the company to external entities and/or serve on internal and/or external committees. May chair company committees. Interprets medical policies and clinical guidelines. May develop and propose new medical policies based on changes in healthcare. Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies and develops opportunities for innovation to increase effectiveness and quality. Expectation for this role also includes weekend and holiday coverage during assigned weekend rotations to support continuity of UM operations and ensure timely case processing. Minimum Requirements: Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). Must possess an active unrestricted medical license to practice medicine or a health profession in Florida. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. Preferred Qualifications: Bilingual- Spanish speaking preferred. Utilization Management case review experience strongly preferred. Previous experience working for a health plan or managed care organization preferred. Previous Medicare experience preferred. Internal/Family Medicine or other adult medicine training preferred. Job Level: Director Equivalent Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Physician/Doctor/Dentist Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Please note that per our policy this role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How will you make an impact: * Supports clinicians to ensure timely and consistent responses to members and providers. * Provides guidance for clinical operational aspects of a program. * Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians. * May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. * Serves as a resource and consultant for other areas of the company. * May be required to represent the company to external entities and/or serve on internal and/or external committees. * May chair company committees. * Interprets medical policies and clinical guidelines. * May develop and propose new medical policies based on changes in healthcare. * Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. * Identifies and develops opportunities for innovation to increase effectiveness and quality. * The following are level distinctions not required for posting. * Works independently with oversight from immediate manager. * May be responsible for an entire clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities including clinical policy development, program development/implementation, and overseeing clinical/non-clinical activities. Minimum Requirements: * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. * A minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, a minimum of 5 years of experience providing health care is required. * * Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.* Preferred Skills, Capabilities and Experiences: * 1-2 years Utilization Management experience strongly preferred. * Strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Full time Medical Director: Veterinarian - Now Hiring + Competitive Salary + Benefits A progressive and well-established veterinary clinic in Lakeland, FL is actively seeking a compassionate and skilled Veterinarian: Medical Director to join our team. This is an exciting opportunity to work in a modern facility with a supportive team that values high-quality care, client communication, and work-life balance. What We Offer: Competitive Base Salary + Quarterly Performance Medical, Dental & Vision Insurance 401(k) with Employer Match Generous Paid Time Off (PTO) & Paid Holidays Continuing Education (CE) Allowance + Paid CE Days Full Coverage for Licensing Fees (DEA, State, PLIT) No Overnight Shifts | Closed Sundays Career Development & Mentorship Opportunities Relocation Assistance & Commuter Benefits Available Your Responsibilities: Perform comprehensive physical exams and diagnostic workups Diagnose and treat a variety of medical conditions Develop and implement treatment plans Conduct routine and advanced surgical procedures Provide preventive care, wellness visits, and vaccinations Build trust with clients through clear and compassionate communication Ideal Candidate: Doctor of Veterinary Medicine (DVM) degree from an accredited institution Licensed (or eligible for licensure) in Florida Strong commitment to client care and veterinary excellence Team player with excellent interpersonal and communication skills Eager to grow professionally in a collaborative environment How to Apply: If you're ready to take the next step in your veterinary career in vibrant Lakeland, FL, we'd love to connect! 📧 Send your resume and cover letter to: ************************** 📞 Contact: Sam Ortiz, Senior Talent Acquisition Specialist 📱 ************** Equal Opportunity Employer We proudly provide equal employment opportunities and welcome applicants from all backgrounds. Join us in Lakeland, FL and make a lasting difference-one pet at a time!

Nemours Children's Hospital, Florida is seeking a Pediatric Cardiologist to lead our outpatient Cardiology team in Lakeland, Florida. We are seeking a Medical Director to join our Lakeland team of two dedicated providers and a nurse practitioner to help grow an already established and growing region. The Lakeland practice conducts outpatient clinic 5 days per week with full echo, fetal echo and exercise stress testing support. In addition, the team also provides inpatient consultative service and after hours call coverage to support Lakeland Regional Hospital. There is no requirement for in-person call coverage, however home outpatient call coverage for the region is expected. We are seeking individuals with a passion for both outpatient and inpatient consultative services that work well within a close-knit team. Requirements: Board certified pediatric cardiologist with demonstrated outpatient cardiology practice growth experience. Living in Lakeland, Florida, provides a mix of suburban tranquility and vibrant community life. Known for its numerous lakes and outdoor recreational opportunities, Lakeland offers a relaxed, family-friendly atmosphere. The city boasts historic districts, cultural attractions like the Polk Museum of art, and a bustling downtown with shops and eateries. With a mild climate year-round, residents enjoy outdoor activities such as boating, fishing and hiking. Lakeland also benefits from its central location in Florida, providing easy access to nearby cities and attractions like Orlando and Tampa. Polk County is the second fastest growing metropolitan region in the nation, with Lakeland, Winter Haven, Davenport and Plant City as the densest cities in the county. Nearly 200,000 children currently call the area home, with an anticipated 6% growth to 212,000 by 2027. The region ranks nine out of Florida's 67 counties for the largest population of children. With 849 beds, Lakeland Regional is the 5th largest Hospital in Florida seeing over 200,000 ER visits and 43,000 admissions per year, over 2,100 trauma visits annually, and more than 3,000 deliveries. Services are delivered in the new Carol Jenkins Barnett Pavilion for Women and Children which opened summer of 2018. This $275 million project has 300,000 square feet of stare-of-the-art inpatient and outpatient space including a 47-bed pediatric medical/surgical unit, a Pediatric Intensive Care Unit, the area's largest Level II NICU, and an expanded 22 bed Pediatric Emergency Department. Take a virtual tour: LRH Carol Jenkins Barnett Center for Women & Children Lakeland Regional Health City of Lakeland #LI-LC1

General Description The Medical Director, Clinical is a key member of the Senior Leadership Team responsible for implementing and overseeing a high-quality integrated clinical practice model. The role provides direct supervision to providers within the assigned specialty and collaborates extensively with the CMO and clinical directors to support consistent clinical operations, efficient workflows, and excellent quality care across Premier Community HealthCare Group (PCHG). The Medical Director promotes clinical innovation and best practices to enhance operational performance and ensure safe, effective care. The position also includes the provision and management of direct patient care for a designated patient population. Essential Duties & Responsibilities * Drive organizational clinical priorities and develop strategies that improve outcomes and quality care in close partnership with the CMO * Support supervision of medical providers and collaborate on oversight and delegation matters * Support provider retention through mentoring, onboarding, and alignment with organizational standards * Contribute to policy development, long-range planning, and evaluation programs to meet departmental goals * Meet routinely with providers, advanced practice clinicians, and operational leadership to understand challenges, review goals, and support improvement * Partner with Learning & Development to design customized provider onboarding and development plans * Participate in clinical privileging, appointment, and re-appointment of medical staff * Serve as back-up to the Chief Medical Officer as needed * Collaborate with leadership to support care quality, documentation accuracy, EHR integration, and management of clinical incidents or medical emergencies * Assist senior leadership with identifying, managing, and implementing process and quality improvement projects * Develop process improvement plans with clear performance metrics, solutions, and resource planning * Adhere to patient care expectations and contribute to QI/QA programs * Ensure financial and patient service goals are met or exceeded according to standards * Identify workforce needs and develop plans to support provider growth and performance * Attend Board of Directors meetings as requested * Build strong provider teams through coaching, leadership development, engagement, and mentorship * Promote teamwork, trust, and a psychologically safe environment for all care team members * Represent Premier at organizational and community events and support community engagement initiatives * Promote accessible, patient-centered healthcare and service excellence * Maintain confidentiality and HIPAA compliance * Communicate issues that may impact patient flow or clinical operations * Support community outreach and Premier's mission-driven values * Drive performance improvement toward departmental goals * Perform other duties as assigned Supervisory Responsibilities * Direct supervision of providers within assigned service line, including daily operations and annual performance evaluations * Indirect supervision and support of non-clinical personnel as delegated Knowledge, Skills & Abilities * Strong understanding of specialty area and clinical operations * Ability to build effective relationships, support change management, and improve communication flow * Ability to manage multiple priorities with organization-wide impact * High ethical standards, professionalism, innovation, and alignment with Premier's mission * Strong verbal and written communication skills, including the ability to communicate with C-Suite * Experience managing complex projects and major initiatives * Ability to prepare content for monthly board reports * Effective interpersonal and conflict-resolution skills * Ability to inspire, influence, and motivate teams across disciplines * Ability to analyze trends, forecast needs, and develop strategic solutions Qualifications * Graduate of an accredited medical school * Board certified or board eligible in an appropriate medical discipline * Active license to practice medicine in the State of Florida * APRNs or PAs may be considered with prior Associate Medical Director (or higher) experience in an FQHC, or if a current Premier employee with demonstrated leadership talent * Ten (10) years of successful clinical practice experience * Minimum two (2) years of leadership experience * Experience with electronic health records (Epic strongly preferred) * Experience working in a multi-provider clinical practice * DEA license strongly preferred or ability to obtain * Eligible for hospital privileges as needed * Ability to obtain and maintain Epic certification and complete annual compliance requirements Working Conditions & Physical Requirements * Ability to lift 20 lbs. regularly and 30-50 lbs. occasionally * Ability to sit for prolonged periods * Ability to travel between PCHG clinics and occasionally to other sites or conferences * Direct exposure to computer screens * Possible exposure to infectious diseases