- Philips (Orlando, FL)
- As the Technical Consultant , you will lead the implementation of advanced technical solutions, including highly detailed design documentation, system architectures, ... Determines innovative solutions by analyzing intricate business, technical, and clinical requirements, and designing customized approaches that address specific… more
- Highmark Health (Tallahassee, FL)
- …**Job Description :** **JOB SUMMARY** Dynamic and results-oriented Pharmacy Benefit Consultant , serving as the client-facing expert, driving growth and retention of ... Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.… more
- UNUM (Tallahassee, FL)
- …efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards ... intended audience + Perform telephone contacts with the insured's healthcare providers to gather medical information and to facilitate...area of specialty + Minimum of five years of clinical experience in medical specialty + Strong team and… more
- CVS Health (Tallahassee, FL)
- …plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. + Gathers clinical information and ... support cost-effective quality care for members. + Work in clinical telephone queue for 3 to 4 hours a...programs. + Identifies opportunities to promote quality effectiveness of healthcare services and benefit utilization. + Consults and lends… more
- Cardinal Health (Tallahassee, FL)
- **_What Specialty Networks contributes to Cardinal Health_** Specialty Networks creates clinical & economic value for independent specialty providers & partners in ... to position Specialty Networks in creating value to the members in their clinical , operational, and economical goals. This individual will be tasked with maintaining… more
- CVS Health (Tallahassee, FL)
- …plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. + Gathers clinical information and ... operation and work schedules will include weekends, holidays, and evening hours._ + Utilizes clinical experience and skills in a collaborative process to assess,… more
- CVS Health (Tallahassee, FL)
- …release of features. **Stakeholder Engagement** + Collaborate with business units, operations, clinical teams, compliance, and IT to align on priorities and secure ... products adhere to HIPAA, CMS, NCQA, and other relevant healthcare insurance regulations. + Partner with compliance and security...a Product Owner, Product Manager, or similar role in healthcare insurance or a highly regulated industry. + Strong… more
- Insight Global (Orlando, FL)
- …. Knowledge of Improvement, Change Management, Quality & Safety Principles for Healthcare . Medication safety management experience . Clinical Nutrition ... Job Description The Assistant Vice President, Pharmacy Operations & Clinical Nutrition is responsible for developing, implementing, and sustaining pharmacy and … more
- HCA Healthcare (Port St. Lucie, FL)
- …regulatory/contractual/accreditation requirements associated with these functions. + Serves as a clinical resource and consultant to hospital case managers and ... This position is incentive eligible. **Introduction** Executives thrive with us! HCA Healthcare is one of the nation's leading providers of healthcare … more
- AdventHealth (Altamonte Springs, FL)
- …Location** : Altamonte Springs, FL **The role you will contribute:** The Clinical Patient Safety Program Manager is responsible for the implementation and management ... of the AdventHealth Clinical Patient Safety programs. This role will lead/co-lead and...EHR audits and related initiatives and is an internal/extremal consultant in matters that impact patient harm identification and… more
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