- Highmark Health (Tallahassee, FL)
- …+ Participate in product specific Pharmacy and Therapeutics Committees and Drug Utilization Review (DUR) Committees as necessary or contractually required. + ... position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Elevance Health (Tampa, FL)
- …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 ... law. The **Medical Director-Dermatology Appeals** is responsible for the review of appeals for physical health medical...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- HCA Healthcare (Largo, 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 ... activities as necessary. 14. Responsible for the development and utilization of selling and service training classroom and access...to apply for our Regional Sales Trainer - Home Health opening. We promptly review all applications.… more
- The Cigna Group (Lake Mary, FL)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... **JOB SUMMARY** The Director Health Systems Sales will lead a Sales Manager...all relevant data is accurate and to organize quarterly review meetings, RFP's or other events. Proactively identify training… more
- ChenMed (Tampa, FL)
- …explain primary care provider role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... structure, care processes, financing, marketing and policy decisions impact the quality of health care. + Applies skills in peer review to promote a… more
- Highmark Health (Tallahassee, FL)
- …effective application of appropriate design standards, methods, and tools. + Review application designs to ensure optimal technology selection, efficient resource ... utilization , and seamless system integration. + Ensure system architecture...automation scripts (Shell, Python) for streamlining tasks, ensuring peer review and version control. + Maintain comprehensive technical documentation,… more
- Lake Erie College of Osteopathic Medicine (Bradenton, FL)
- …+ Cover for on-site emergencies when needed as backup for the Director of Behavioral Health ; + Act as course director by constructing, updating, facilitating, ... and conducting lectures in the Introduction to Behavioral Health (IBH) course; + Interview standardized...order to realize differential diagnoses; + Competency with the utilization of psychological methodologies; + Ability to review… more
- HCA Healthcare (Coral Springs, 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 ... **Benefits** HealthTrust Supply Chain offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- HCA Healthcare (Sanford, 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...is preferred + Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida Lake… more
- HCA Healthcare (Gainesville, 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...is required. + Certification in case management, nursing, or utilization review desired. + Bachelors degree required.… more