• Medical Director - Dsnp/MMP

    CVS Health (Tallahassee, FL)
    … director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review, and provider appeals ... as needed. * Outward facing position to interact and collaborate with medical / physical professional associates, the local provider community, state regulatory… more
    CVS Health (09/04/25)
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  • Claims Manager

    CHS (Clearwater, FL)
    …client trust. * Investigates and participates in formal responses relating to complaints, grievances and appeals received by or applicable to PAS. Participates ... service, claims administration, is where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to cost… more
    CHS (08/08/25)
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