- Datavant (Tallahassee, FL)
- …and compliant coding practices across multiple specialties. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and procedures. + ... from these requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working,… more
- Datavant (Lakeland, FL)
- …or challenges. + Lead Audit Team which receives requests from Payors + Review data and provide client and leadership solutions + Comfortable bringing new ideas, ... from these requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working,… more
- Datavant (Tallahassee, FL)
- …and implement foundational operating models, ensuring consistent delivery workflows, review cadences, and documentation standards. + Build scalable systems and ... from these requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working,… more
- Datavant (Tallahassee, FL)
- …the role. + Report trends for education opportunities to management for review and/or action. + Motivate team members through effective training, supplemental ... from these requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working,… more
- Huntington Ingalls Industries (Orlando, FL)
- …at the National Training Center along with other related programs. + Review Statements of Work (SOW), Performance Work Statements (PWS), Sole Source Justifications ... in the development of Contract Requirement Packages (CRP) including the review , creation and Mission Partner response to Contract Deliverable Requirement Lists… more
- MyFlorida (Fort Myers, FL)
- …the DCF salary policy. The primary focus of the "brain" will be to review investigations received through the Florida Abuse Hotline in order to ensure that critical ... and/or follow up consultations, the "brain" will request and review any records pertinent to the assessment of the...to ensure trends and observations of investigative practice and case reviews are incorporated into ongoing Training and Quality… more
- Highmark Health (Tallahassee, FL)
- …of the requested treatment of service. Depending on the nature of the case , telephonic peer to peer discussions may be required. The incumbent ensures compliance ... DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of...as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary… more
- Humana (Tallahassee, FL)
- …provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present educational ... team and healthcare organization. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of… 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) . PROGRAM ... benefits and limitations of different endoscopic procedures + Detailed review of patient's medical history including prior diagnostic tests, therapeutic… more
- Datavant (Tallahassee, FL)
- …from these requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working, ... protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know Your… more