- Elevance Health (Miami, FL)
- …but are not limited to: + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality ... in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer...that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the… more
- Evolent (Tallahassee, FL)
- …Need (Required):** + Bachelor's Degree + 2+ years' experience in healthcare, IT business analyst , and/or product management + Experience working with FHIR - ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...of healthcare data formats (eg, eligibility, claims, configuration, authorizations, clinical data) is preferred + Prior Experience with SQL,… more
- Elevance Health (Tampa, FL)
- …pharmacy benefits. By leveraging the power of new technologies, our strong, clinical -first lens and deep pharmacy expertise, we are actively defining our innovative ... related role such as Any experience as a quality analyst , administrator, coordinator, or quality improvement specialist. + 3+...They are how we achieve our strategy, power our business outcomes and drive our shared success - for… more