- AdventHealth (Maitland, FL)
- …etc.). + Ability to use data systems, and contract management software applications, clinical information and other information generated by numerous sources ... well as payers in all markets. Actively participates in outstanding customer service and maintain relationships with clients who include AH Managed Care Directors,… more
- BrightSpring Health Services (Lake City, FL)
- …to hospice care. Coordinates care with the community referral and hospice clinical team, including an admission nurse. Responsibilities + Participates in daily ... and regulations regarding anti-kickback, lawful marketing activities (gifts and services ), patient solicitation, and accurate marketing materials + May assist… more
- Highmark Health (Tallahassee, FL)
- …are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical ... to evaluate the medical necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic peer to peer discussions… more
- BayCare Health System (Safety Harbor, FL)
- … excellence. **Responsibilities:** + Responsible for leading the day-to-day operations of the Clinical Engineering Services staff. + Working with clinical ... be working remotely?** Never Equal Opportunity Employer Veterans/Disabled **Position** Clinical Engineering Services Team Lead **Location** Safety Harbor:Mease… more
- Actalent (Florida City, FL)
- …review is necessary. + Obtain verbal authorizations and request detailed clinical information from prescribers. + Approve coverage determination requests ... a dedicated Pharmacy Technician to review Prior Authorizations for a Pharmacy Services department within a large healthcare insurance company. The role involves… more
- Actalent (Orlando, FL)
- …need for pharmacist review. + Obtain verbal authorizations and request detailed clinical information from prescribers. + Approve coverage determination requests ... capacity. This position involves reviewing Prior Authorizations for a Pharmacy Services department within a large healthcare insurance company. The technician will… more
- Actalent (Orlando, FL)
- …review is required. + Obtain verbal authorizations and request detailed clinical information from prescribers. + Approve coverage determination requests ... We are seeking a dedicated Pharmacy Technician to join a dynamic Pharmacy Services department within a large healthcare insurance company. This role is 100% remote… more
- Actalent (Orlando, FL)
- …review is necessary. + Obtain verbal authorizations and request detailed clinical information from prescribers. + Approve coverage determination requests ... a dedicated Pharmacy Technician to review Prior Authorizations for a Pharmacy Services department within a large healthcare insurance company. The role involves… more
- Actalent (Orlando, FL)
- …review is required. + Obtain verbal authorizations and request detailed clinical information from prescribers. + Approve coverage determination requests ... Pharmacy Technician to join a large healthcare insurance company's Pharmacy Services department. The primary role involves reviewing Prior Authorizations for… more
- Actalent (Orlando, FL)
- …review is required. + Obtain verbal authorizations and request detailed clinical information from prescribers. + Approve coverage determination requests ... Technician to join a reputable healthcare insurance company's Pharmacy Services department. The role involves reviewing Prior Authorizations for determination,… more