- AdventHealth (Orlando, FL)
- …Level Reviewer I strategically facilitates and obtains appropriate and quality physician documentation for any clinical conditions or procedures to support the ... risk of mortality (ROM), and quality. + Completes accurate and timely record review to ensure the integrity of documentation compliance. + Completes accurate and… more
- LogixHealth (Dania Beach, FL)
- …provider information + Work with Contract Coordinator to pursue new contracts for physician groups with insurance carriers and obtain contracts for new clients + ... Review status of negotiations for open and existing contracts...dental and vision, 401(k), PTO, paid holidays, life and disability insurance, on-site fitness center and company-wide social events.… more
- Surgery Care Affiliates (Boynton Beach, FL)
- …for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a ... coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Click here (https://careers.sca.health/why-sca) to learn more about… more
- Florida Atlantic University (FL)
- …Charles E. Schmidt College of Medicine seeks an innovative and dynamic emergency medicine physician to join our core faculty at the rank of Assistant or Associate ... a role model to residents and medical students as an emergency medicine physician with excellent clinical skills + Maintain board certification in emergency medicine… more
- Evolent (Tallahassee, FL)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... Provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Pfizer (Tampa, FL)
- …solutions content, collateral, printing, distribution and field communications + Review Committee (RC) representation for appropriate materials **Financial and ... assess the optimal affordability solutions for given brands. + Review program costs and provide insights into design changes...the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of… more
- Evolent (Tallahassee, FL)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as ... available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review… more
- CVS Health (Tallahassee, FL)
- …+ Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization A Plus +. + ... consistent responses to members and providers related to precertification, concurrent review , and appeal request. This position is primarily responsible for… more
- AdventHealth (Maitland, FL)
- …quantify, and present contract compliance violations. He/she will perform extensive review of contract language, state and federal regulations, and payor practices ... This person demonstrates attention to detail and competencies in contract language review , research, decision support, and financial analysis in the preparation and… more
- AdventHealth (Palm Coast, FL)
- …to facilitate and maximize functioning level as prescribed by physician . Includes the identification, prevention, remediation, and rehabilitation of patients ... bring to the team: + Conducts patient assessments. + Performs a medical record review on all patients prior to the initial intervention which leads to diagnostic… more