- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require… more
- Pepin Distributing Company (Tampa, FL)
- …relations, HR policies and procedures, HR legal compliance, organizational culture, and project management . This role is a unique opportunity to have experience as a ... equal employment opportunity/affirmative action, FLSA requirements, etc. + In concert with management , builds and drives a positive employee culture. + Champions a… more
- Pepin Distributing Company (Tampa, FL)
- …& Office Coordinator (Business Support Specialist)** is responsible for the day-to-day management of the front desk operations and provides essential clerical and ... also assisting with tasks such as scheduling, data entry, document management , and general office coordination. The ideal candidate is detail-oriented,… more
- Synchrony (Altamonte Springs, FL)
- …nature. + Serves as a subject matter expert of model risk management to effectively communicate with model stakeholders and support enhancements of existing ... with the application of US regulatory requirements for Model Risk Management in a financial institution.** **Desired Characteristics:** + Strong knowledge of… more
- Medtronic (Orlando, FL)
- …the continuum of care for Venous Disease. Practice good, ethical territory management in terms of organization, planning, administration and expense planning and ... on products and procedures. Meet expectations as defined by Sales Management . **RESPONSIBILITIES:** Planning/Results Orientation: + Consistently meet and exceed AOP,… more
- Prime Therapeutics (Tallahassee, FL)
- …recommendations to committee(s); partner with cross-functionally with Clinical Program Management , Specialty, Health Plan Markets and other internal business ... Other duties as assigned **Minimum Qualifications** + Bachelor's degree in business, healthcare management or related area of study + 15 years of work experience in… more
- Prime Therapeutics (Tallahassee, FL)
- …Facing Role.** The Clinical Account Director is responsible for the management of all client's clinical programs and drug strategy recommendations including ... drug formulary, Utilization Management programs, and other drug therapy related products and...will receive consideration for employment without regard to race, color , religion, gender, sex (pregnancy, sexual orientation, and gender… more
- Medtronic (Orlando, FL)
- …is responsible for driving clinical and procedural excellence in hernia disease management to achieve above-market growth in the assigned territory. This role ... Standardize (FES) model to convert accounts. + Customer Engagement and Relationship Management : + Strengthen partnerships with key stakeholders in hernia disease … more
- Sharecare (Tallahassee, FL)
- …new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and ... durable medical equipment (DME) + Community resource search + Member preferences management + Coordinate issue resolution with providers, payers or 3rd parties for:… more
- Prime Therapeutics (Tallahassee, FL)
- …(SME) support on projects, maintaining client relationships, executing on talent management and planning efforts, ensuring staff development, and driving continuous ... or focus area + Partner with the Director Operations and HR to drive talent management and talent planning efforts for client team or focus area + Partner with… more