• Claims Manager

    CHS (Clearwater, FL)
    …as well as transparency in reporting results, trends and issues to Senior Management and clients. * Management of relationships with Preferred Provider Organizations ... participates in formal responses relating to complaints, grievances and appeals received by or applicable to PAS. Participates in...True teamwork environment * High visibility and interaction with senior management * Enjoy an easy commute to our… more
    CHS (08/08/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Tallahassee, FL)
    …of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (07/30/25)
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  • Field Medical Director, (Medical Oncology)

    Evolent (Tallahassee, FL)
    …of the request and provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency ... is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
    Evolent (08/27/25)
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  • Chief Medical Officer

    Ascension Health (Jacksonville, FL)
    …physician advisor to assist with level of care, length of stay, denial management, appeals , and peer to peer reviews. + Performs other duties as assigned. \#le@der ... and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything… more
    Ascension Health (08/23/25)
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  • Clinic Athletic Trainer 3

    University of Miami (Coral Gables, FL)
    …JOB FUNCTIONS + Serves as a key liaison for the practice of a senior attending surgeon. Conducts comprehensive or episodic health history and physical assessment of ... billing, and insurance authorizations including pre-authorization and retro-authorization and appeals as needed. + Schedules patient appointments, adds/removes/edits appointment… more
    University of Miami (08/22/25)
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  • Director, Physician Leadership - Medical Directors…

    Humana (Tallahassee, FL)
    …: Characterize the impactable drivers of prior authorization and look at appeals rate with denials and overturns. Deliver the upmost consistent medical director ... poise, and executive presence that will ensure effective interaction with senior and executive level audiences Highly collaborative mindset and excellent… more
    Humana (08/21/25)
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  • Field Medical Director, Oncology

    Evolent (Tallahassee, FL)
    …of the request and provides clinical rationale for standard and expedited appeals . . Utilizes medical/clinical review guidelines and parameters to assure consistency ... is recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
    Evolent (08/19/25)
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  • Physician - Physician Advisor

    Ascension Health (Jacksonville, FL)
    …+ Develop strategy and processes to reduce denials and audits. + Assist with appeals and length of stay market initiatives. + Utilize hospital data sources to ... and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything… more
    Ascension Health (08/13/25)
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  • Attorney-Assistant Attorney General-DLA - 1

    MyFlorida (Tallahassee, FL)
    …This is in the Office of the Attorney General within the Criminal Appeals Unit in Tallahassee, Florida. Pay: $77, 219.22 Annually Qualifications: Bachelor of Laws ... in the Florida Bar. This position works under the direct supervision of a senior level attorney to represent the State of Florida in criminal appellate litigation in… more
    MyFlorida (08/02/25)
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  • Field Medical Director, Physical Medicine…

    Evolent (Tallahassee, FL)
    …of the request and provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency ... is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
    Evolent (07/24/25)
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