• Patient Access Specialist (On-Site)

    University of Miami (Doral, FL)
    …via in-basket messaging. + Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions. CTU + Must possess ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of… more
    University of Miami (12/20/25)
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  • Patient Access Specialist (On-Site) (H)

    University of Miami (Miami, FL)
    …via in-basket messaging. + Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions. CTU + Must possess ... to apply for a faculty or staff position, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Core Job Summary:… more
    University of Miami (12/20/25)
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  • Client Success Renewals Specialist

    Norstella (Tallahassee, FL)
    Client Success Renewals Specialist Company: MMIT Location: Remote, United States Date Posted: Dec 22, 2025 Employment Type: Full Time Job ID: R-978 **Description** ... and delivers must-have answers and insights, leveraging AI, for critical strategic, clinical , and commercial decision-making. We help our clients: + Accelerate the… more
    Norstella (12/23/25)
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  • SQPE Specialist I

    Cleveland Clinic (Stuart, FL)
    …Cleveland Clinic, a nonprofit, multispecialty, academic medical center that integrates clinical and hospital care with research and education. Cleveland Clinic ... patient safety. As a Safety Quality and Patient Experience Specialist I, you will direct our safety, quality and...using the Cleveland Clinic Improvement Model. + Partner with clinical leadership to set objectives and key results. +… more
    Cleveland Clinic (10/29/25)
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  • Workfront Configuration Specialist

    Eliassen Group (Tallahassee, FL)
    …analyze requirements. + Provide expert advice on best practices for Workfront utilization . + Conduct/participate in regular meetings to review project progress ... **Workfront Configuration Specialist ** **Anywhere** **Type:** Contract **Category:** Development **Industry:** Insurance **Workplace Type:** Remote **Reference ID:**… more
    Eliassen Group (12/20/25)
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  • RN Clinical Appeals Nurse Remote

    Molina Healthcare (Miami, FL)
    …candidate with a RN licensure, Diagnosis-Related Group (DRG) experience, 2 years of Utilization Review and/or Medical Claims Review experience. Knowledge in ... managed care experience in the specific programs supported by the plan such as utilization review , medical claims review , long-term services and supports… more
    Molina Healthcare (01/02/26)
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  • Advanced Clinical Pharmacist Emergency Dept

    HCA Healthcare (Panama City, FL)
    …Interfaces with physicians and nurses to develop quality, cost effective therapeutics through clinical pathways. + Works with Education Specialist to design and ... find this opportunity compelling, we encourage you to apply for our Advanced Clinical Pharmacist opening. We promptly review all applications. Highly qualified… more
    HCA Healthcare (11/10/25)
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  • Pharmacy Clinical Manager

    HCA Healthcare (Plantation, FL)
    …of pharmacy is preferred. * Minimum of 1 year as a Pharmacy Clinical /Operations Specialist required. * 5 years of hospital pharmacy experience, preferably ... drug therapy selection. * Identify, design and analyze drug utilization reviews to promote rational drug therapy and determine...growth, we encourage you to apply for our Pharmacy Clinical Manager opening. We promptly review all… more
    HCA Healthcare (12/20/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Tallahassee, FL)
    …when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the ... make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
    Evolent (12/18/25)
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  • Associate Medical Director

    CenterWell (Daytona Beach, FL)
    …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in care, ... patient management (HRPM), and social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization *Monitor and manage daily… more
    CenterWell (12/23/25)
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