- Elevance Health (Tampa, FL)
- …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... East Coast time zone hours.** The **Medical Director** will be responsible for utilization review case management for Commercial business in the New England (CT, ME,… more
- CenterWell (Tallahassee, FL)
- …short-term interventions, and connection to community-based resources. This role brings behavioral health expertise and addresses social determinants of ... of an interdisciplinary team-particularly in partnership with primary care teams, community health workers, pharmacists, and behavioral health specialists.… more
- Highmark Health (Tallahassee, FL)
- …agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees. ... designs, competitive position, product development, network options, strategic partnerships, utilization review, local/national client demographics and dentist distribution. Interpret… more
- MyFlorida (Tallahassee, FL)
- MEDICAL/ HEALTH CARE PROG ANALYST - SES - 64053708 Date: Aug 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 854383 Agency: Department of Health Working Title: MEDICAL/ HEALTH CARE PROG ANALYST… more
- Elevance Health (Tampa, FL)
- …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... **National Government Services** is a proud member of Elevance Health 's family of brands. We administer government contracts for...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- HCA Healthcare (Ocala, 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 ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...Pharmacist will assist the Director of Pharmacy and Clinical Manager in the development of Pharmacy clinical services and… more
- 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
- HCA Healthcare (Kissimmee, 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 ... in the pharmacy when the tech supervisor or pharmacy manager is unavailable. + Under the supervision of Director...Care, Neonatal Intensive Care Unit Level II, Women's Services, Behavioral Health , Orthopedics & Spine, and a… more
- HCA Healthcare (Fort Lauderdale, 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 ... back! **Benefits** HCA Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- Molina Healthcare (Tampa, FL)
- …eligible members as well as Medication Adherence Programs for STAR, HEDIS and behavioral health medications. * Ensures that adequate staffing coverage is present ... manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state… more