- Elevance Health (Tampa, FL)
- …new or existing process, methodologies and practices through observation, research, and data analysis. + Monitors adoption and use of processes, tools, and practices ... + Medicare and Medicaid knowledge highly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed… more
- CVS Health (Coral Gables, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...eligibility and facilitates integrative functions using clinical tools and information/ data . + Utilizes case management processes in compliance with… more
- Elevance Health (FL)
- …Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective medical ... develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. + Identifies and develops opportunities… more
- Veterans Affairs, Veterans Health Administration (St. Augustine, FL)
- …(ICT) Generalist is assigned to the Department of Veteran Affairs, Veterans Health Administration (VHA). This position serves as an advance technician for outpatient ... care settings such as; primary care, mental health , and specialty clinics. As an ICT Generalist the incumbent may serve in a medical center, community-based… more
- Elevance Health (Miami, FL)
- A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, ... include, but are not limited to: + Verifies member information and inputs data for the pharmacists. + Educates members about prescriptions and medication resources… more
- Elevance Health (FL)
- …assist and advise on the development, use and sale of digital health technology products and services, including artificial intelligence (AI). **How You Will ... team. + Provide legal advice and guidance on digital health technology law topics such as AI, SaaS, software...as a medical device, technology product development lifecycle, and data use advising business stakeholders and coordinating with lines… more
- Elevance Health (Miami, FL)
- …Medicine Appeals** is responsible for the review of appeals for physical health medical services, to ensure the appropriate and most cost-effective medical care ... lead, develop, direct, and implement clinical and non-clinical activities that impact health care quality cost and outcomes. + Identify and develop opportunities for… more
- Elevance Health (FL)
- …requiring clinical review to a Nurse reviewer. + Responsible for the identification and data entry of referral requests into the UM system in accordance with the ... and New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,...laws. * The salary range is the range Elevance Health in good faith believes is the range of… more
- Elevance Health (Miami, FL)
- …policies, and editing rules, as well as conducts clinical research, data analysis, and identification of legislative mandates to support draft development ... Professional Coder (CPC) CEMC and CEDC encouraged. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …significant others utilizing communication skills - Utilize observation skills for data collection, reporting and recording - Participate in patient centered ... appropriately refers issues to the charge nurse or other health care professional. - Utilizes principles of proper body...and refer deviations to appropriate nursing staff or other health care provider - Organizing and obtaining routine supplies… more