• Hybrid Bilingual Manager, Care Integration Team

    CenterWell (Tampa, FL)
    …a remote position_** **)** is responsible for managing a team of nurses, community health workers, and behavioral health resources who engage high risk/high ... health outcomes. + Accountability to key population health metrics, including quality, utilization and financial...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
    CenterWell (08/09/25)
    - Related Jobs

  • Medical Director-Dermatology Appeals

    Elevance Health (Miami, FL)
    …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... is responsible for the review of appeals for physical health medical services, to ensure the appropriate and most...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
    Elevance Health (10/01/25)
    - Related Jobs

  • On-site Wellness Manager (Miami, FL.)

    CVS Health (Miami, FL)
    …of the programs and services. + Regularly analyzing and presenting health assessment data, organizational assessment, claim utilization data, employee ... + Collaborating with multidisciplinary teams such as nutritionist, pharmacist, behavioral clinician, health educators, doctors, providers, wellbeing service… more
    CVS Health (09/10/25)
    - Related Jobs

  • Recreation Therapist- Medical Foster Home Program

    Veterans Affairs, Veterans Health Administration (Tampa, FL)
    …recreation therapy interventions for treating patients with complex medical or mental health issues such as Post Traumatic Stress Disorder (PTSD), Polytrauma (TBI), ... therapy interventions including but not limited to; assistive technology; cognitive behavioral skills; fitness and wellness; adapted sports and leisure development;… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
    - Related Jobs

  • Change Execution Consultant

    Highmark Health (Tallahassee, FL)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job plays a key role in ensuring projects (ie change initiatives) meet objectives on time ... to implementation. Works to drive faster adoption, higher ultimate utilization and greater proficiency of the changes that impact...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (09/19/25)
    - Related Jobs

  • Pharmacy Coordinator

    Highmark Health (Tallahassee, FL)
    …Wholecare's pharmacy programs with a focus on medication adherence and optimizing member health outcomes. This role involves a high volume of daily contacts with ... address medication-related issues, promote adherence, and ensure appropriate medication utilization . **ESSENTIAL RESPONSIBILITIES** + Communicate effectively with physicians and… more
    Highmark Health (09/19/25)
    - Related Jobs

  • Pharmacy Benefit Consultant

    Highmark Health (Tallahassee, FL)
    …**Preferred** + 5 years of experience with communications + 3 years of experience in Utilization Review + 3 years of experience in Account Support + 1 year of ... **Substitutions** + 6 years experience in pharmacy or managed health care setting in lieu of Bachelor degree **Preferred**...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (08/26/25)
    - Related Jobs

  • Senior Architect - Cloud

    Highmark Health (Tallahassee, FL)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role is responsible for designing, developing, implementing, supporting, and optimizing ... solutions, networks, and infrastructure. Ensure optimal technology selection, resource utilization , and seamless integration. + Utilize modeling tools to develop… more
    Highmark Health (07/22/25)
    - Related Jobs

  • Primary Care Physician

    ChenMed (Jacksonville, FL)
    …providing direct patient care and providing assessments primarily in the ambulatory health care center setting, or occasionally in acute care, nursing homes, skilled ... exam, diagnosis and treatment, development of the plan of care, health education, specialty referrals, case management referrals, follow-up and clear documentation… more
    ChenMed (10/02/25)
    - Related Jobs

  • Manager of Case Management

    HCA Healthcare (Brandon, FL)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... supporting a balance of optimal care and appropriate resource utilization .​ **What you will do in this role:** +...offer many services including a heart & vascular center, behavioral health center and a women's center.… more
    HCA Healthcare (09/09/25)
    - Related Jobs