• Senior Accreditation Utilization Management

    Humana (Tallahassee, FL)
    …Degree or BSN degree. + Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. ... + Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health ; MED-Deeming accreditation standards knowledge… more
    Humana (09/03/25)
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  • Records Technician

    MyFlorida (Pensacola, FL)
    …daily report. 5. Utilizes knowledge of Florida Shots (FL Shots) System and the Health Management System (HMS) scheduling to assist clients. 6. Receives clients ... Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 853838 Agency: Department of Health Working Title: RECORDS TECHNICIAN - 64084019 Pay Plan:… more
    MyFlorida (09/02/25)
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  • Cleveland Clinic Florida - Heart Failure…

    Cleveland Clinic (FL)
    …high quality and efficient hospital care of heart failure patients, (2) population health management of outpatients with heart failure, and (3) appropriate ... Heart Failure Cardiologist to join our established and highly respected health system within Cleveland Clinic Florida Cardiovascular Medicine. Cleveland Clinic… more
    Cleveland Clinic (06/24/25)
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  • HIM Lead Associate

    HCA Healthcare (Gainesville, FL)
    **Description** **During your time in the Leadership Development Program for Health Information Management , we will prepare you to function as a leader in the ... (or working towards the completion of a BA or BS), Health Information Management ** + **Leadership experience from employment, school or voluntary capacity… more
    HCA Healthcare (06/21/25)
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  • Senior Workforce Management Professional

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Senior Workforce Management Professional applies and integrates advanced and ... insights for workforce decision-making (eg, staffing, learning and development, talent management , diversity and human resource compliance). The Senior Workforce … more
    Humana (09/05/25)
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  • Encounter Data Management Professional

    Humana (Tallahassee, FL)
    … first** Become a part of our caring community and help us put health first The Encounter Data Management Professional will conduct research and analysis ... accurate, timely, and completeness of DSNP encounter submissions. Encounter Data Management Professional will have comprehensive knowledge of processes, policies and… more
    Humana (08/16/25)
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  • Practice Manager, Clinic/Center Administration…

    CenterWell (Leesburg, FL)
    …working with Provider Communities + Experience with Electronic Medical Record (EMRs) or Health Information Management (HIMs) systems + Knowledge of Excel, Word ... part of our caring community and help us put health first** The Practice Manager, Clinic/Center Administration plans and...of technical experience + 2 or more years of management experience + This role is considered patient facing… more
    CenterWell (09/02/25)
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  • Staff Utilization Management Pharmacist…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for ... decision support tools (eg, Micromedex, Lexicomp) + Pharmacy benefit management (PBM) platforms + Electronic health records...Pharmacy benefit management (PBM) platforms + Electronic health records (EHRs) + Passion for contributing to an… more
    Humana (08/27/25)
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  • Medical Director - Care Plus - Florida

    Humana (Tallahassee, FL)
    …well as a focus on collaborative business relationships, value based care, population health , or disease or care management . Medical Directors support Humana ... quality management , utilization management , case management , discharge planning and/or home health or..., case management , discharge planning and/or home health or post acute services such as inpatient rehabilitation.… more
    Humana (09/04/25)
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  • Assistant General Counsel - Nuclear & Precision…

    Cardinal Health (Tallahassee, FL)
    **_What Legal Management contributes to Cardinal Health_** Legal provides the company with strategic, proactive, practical and cost-effective legal advice and ... legal matters, manages outside counsel and manages legal operations. Legal Management provides strategic oversight, leadership and direction within the Legal… more
    Cardinal Health (08/02/25)
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