- HCA Healthcare (Ocala, FL)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have ... caring group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is… more
- AdventHealth (Altamonte Springs, FL)
- …Resource Manager provides leadership and consultation to company facilities in the clinical review , evaluation and procurement of products and leads ... utilization programs and initiatives. This position works closely with the Office of Clinical Effectiveness and teams representing all hospital sites to review … more
- Evolent (Tallahassee, FL)
- …Will work with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the United ... responsible for support and assistance for all cardiology administrative and clinical utilization management and quality improvement functions under the auspices of… more
- Sedgwick (Orlando, FL)
- …need for absence from work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims; documents decision rationale; and ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical...completes medical review of all claims to ensure information substantiates disability.… more
- Actalent (Tampa, FL)
- …to clinical trials Become familiar with the FDA Regulations pertaining to clinical trials Review medical history with CRC information obtained at screening ... Description Responsible for performing various clinical and neurocognitive test evaluations and interview/ratings on...Review and reconcile medical records received for subjects and… more
- Actalent (Orlando, FL)
- …satisfying terms and conditions for pharmaceutical-sponsored, cooperative group, and institutional clinical trials. You will review and analyze clinical ... trial budgets. + Negotiate terms and conditions for various clinical trials. + Review and analyze clinical trial protocols. + Determine appropriate… more
- Sumitomo Pharma (Tallahassee, FL)
- …documentation and summarization of findings + Serve as the internal medical monitoring for clinical trials + Review and provide input for the design of the ... and experienced individual for the position of Senior Medical Director, Clinical Research (Ophthalmology) to join our R&D Organization. This individual will… more
- Molina Healthcare (Jacksonville, FL)
- …effective operations that drive change. + Functions as key lead for clinical chart review /abstraction and team management. This includes qualitative analysis, ... **Job Description** **Job Summary** The Director, Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight of… more
- Adecco US, Inc. (Brooksville, FL)
- …Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review + Handle resolution/inquiries from members and/or providers ... is working with our client in Brooksville, FL to hire a Clinical Administrative Coordinator. This is an in-person/on-site opportunity! **Type:** Contract - 3… more
- Cognizant (Tallahassee, FL)
- …and retro-authorization as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral, preauthorization, ... the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and… more