- AdventHealth (Orlando, FL)
- …pharmacy, and/or satellite pharmacy areas. Oversees and ensures appropriate utilization of medication automation, technology, and computer systems. Accurately ... + Pharmacy Practice Completes critical medication order scrutiny, drug profile review , and patient monitoring to identify, prevent, or mitigate medication-related… more
- Evolent (Tallahassee, FL)
- …the support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into audit ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...member of the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical… more
- Novo Nordisk (Orlando, FL)
- …who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity, ... relationships with physicians, pharmacists, nurses, and other key personnel in health care settings and major academic and large community health systems. The… more
- Highmark Health (Tallahassee, FL)
- …drug utilization reports, and write drug monographs for Committee review to develop the Organization's Drug formulary and/OR provide recommendations for NDC ... not limited to: prior authorization, dose and duration edits, quantity limits, step- care edits, generic sampling medical policy review and development, member… more
- HCA Healthcare (Ocala, FL)
- …auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling ... assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more...Pharmacist will assist the Director of Pharmacy and Clinical Manager in the development of Pharmacy clinical services and… more
- Cherry Bekaert (Fort Lauderdale, FL)
- …Resource Coordinator will effectively fill resource engagement requests overseeing the utilization of resources, ensuring alignment of resources with the strategic ... at least 100 people with minimal oversight from a manager . + Collaborate with engagement teams to understand their...trusted business advisor for service leads. + Generate scheduling, utilization and forecasting reports and provide analysis of the… more
- CenterWell (Tallahassee, FL)
- …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed ... a part of our caring community and help us put health first** Utilization Management Administration Coordinator II , non-clinical, supports the UM operations by… more
- KBR (Elgin AFB, FL)
- …current with the provision of care . + Provide input for the development and utilization of required databases. + Conduct peer (record) review s for the HP ... . We maintain a highly qualified workforce to help care for service people and astronauts across the world...POTFF Staff, and as directed by local HP program manager and/or coordinator. + Document work performed, utilization… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... and high-level strategies for present and future projects, space planning and utilization . Analyze space and facility layouts for the purpose of advising and… more
- Molina Healthcare (Tampa, FL)
- … Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, or ... of service provided, length of stay and level of care . + Applies appropriate criteria on PAR and Non-PAR...Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. +… more