- Elevance Health (Miami, FL)
- **Medical Director-Internal Medicine or Family Medicine Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... as required by law. The **Medical Director-Internal Medicine or Family Medicine Appeals** is responsible for the review of...clinical operational aspects of a program. + May conduct peer -to- peer clinical reviews with attending physicians or… more
- Travelers Insurance Company (Tallahassee, FL)
- …Advisors (PCA) is a wholly-owned subsidiary of Travelers. PCA facilitates executive peer groups which are exclusive gatherings of seven to ten CEOs where, ... customers. In addition, PCA offers consulting services that help family -owned and other closely held business owners and leaders...with a higher quality of life. Acting as a Peer Group Facilitator and Senior Consultant, the Business Consultant… more
- University of Miami (Palm Beach Gardens, FL)
- …(https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Advanced Practice Registered Nurse - Family Medicine and Community Health - Full ... of care that is appropriate for the patient and family . + Actively participates in quality assurance programs and.... + Actively participates in quality assurance programs and peer review activities. + Responsible for providing assistance to… more
- AdventHealth (Maitland, FL)
- **All the benefits and perks you need for you and your family ** **:** + Benefits from Day One + Paid Days Off from Day One + Student Loan Repayment Program + Career ... met to include review of journal articles, compendia and/or peer review to justify medical necessity approval + Reviews...up on authorization request directly with a payor. Escalates peer to peer (insurance company physician requests… more
- Humana (Tallahassee, FL)
- …above as well as inter- and intra-departmental resources. Work may include Peer to Peer discussions with prescribers, participation in hearings involving ... above as well as inter- and intra-departmental resources. Work may include Peer to Peer discussions with prescribers, participation in hearings involving… more
- UKG (Ultimate Kronos Group) (Weston, FL)
- …can be used for more than 200+ needs that best suit you and your family , from student loan repayment, to childcare, to pet insurance. Our inclusive culture, active ... third-party review platforms such as G2, TrustRadius, and Gartner Peer Insights. This role is critical in shaping how...customers, and candidates perceive UKG through the lens of peer feedback. The ideal candidate is a digital reputation… more
- Elevance Health (Miami, FL)
- …**Federal Employee Program - FEP** , a proud member of the Elevance Health, Inc. family of companies, it is a powerful combination, and the foundation upon which we ... and providers. + Guides clinical operational aspects of a program. + Conducts peer -to- peer clinical reviews with attending physicians or other providers to… more
- Bristol Myers Squibb (Pensacola, FL)
- …access to BMS medicines, to ensure their safe and appropriate use through peer -to- peer discussions aligned with medical strategies and needs expressed by ... scientific and/or clinical data to research or healthcare professionals + Developing peer -to- peer relationships with TLs, scientists and other HCPs + Ability… more
- University of Miami (Miami, FL)
- …team members by making appropriate referrals . + Facilitates staff, patient and family decision making by providing educational tools. + Adheres to University and ... of care that is appropriate for the patient and family . + Actively participates in quality assurance programs and.... + Actively participates in quality assurance programs and peer review activities. + Responsible for helping physicians in… more
- University of Miami (Miami, FL)
- …and evaluates a plan of care that is appropriate for the patient and family . + Actively participates in quality assurance programs and peer review activities. ... condition, determining and directing patients to appropriate medicalproviders. + Provide peer -to- peer reviews with insurance carriers in support of patients… more