- Noblis (Tallahassee, FL)
- …Noblis MSD is seeking a Senior Navy Maintenance and Modernization Policy and Process Professional to support NAVSEA 21A Industrial Assessments Director ... Shipyard, Repair Yard Benchmarking, Navy MILCON process and facilities management , Navy and private sector dry dock capability and...+ Be familiar with Surface Navy Maintenance and Modernization policy and process + Be familiar with the NAVSEA… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …standards, while improving the Veteran's experience and outcomes. Defines mental health policies, utilization management process and procedures, financial and ... Summary Miami VA Healthcare System's Mental Health /Behavioral Science Service is seeking an experienced and...program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months… more
- Elevance Health (Tampa, FL)
- **Manager I Medical Management (Prior Authorizations) - Florida Medicare** **Office Locations:** This role is based in Florida at either our Tampa or Miami ... promoting a dynamic and adaptable workplace. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from… more
- CVS Health (Tallahassee, FL)
- …is required during the first 3 weeks of training / 8:30am-5pm EST, Monday-Friday.** American Health Holding, Inc (AHH) is a medical management company that is a ... At CVS Health , we're building a world of health...Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management… more
- Cardinal Health (Tallahassee, FL)
- …state or local law._ _To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal- health ... **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations...of basic medical terminology + Knowledge of reimbursement and policy impacts on fee schedules + Experience with GE… more
- CVS Health (Tampa, 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 ...each and every day. **Position Summary** This Bilingual Case Management Coordinator position is with Aetna's Long-Term Services and… more
- Elevance Health (Miami, FL)
- **Medical Management Nurse** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... onboarding and skill development. _Please note that per our policy on virtual work, candidates not within a reasonable...- 6pm EST and will include weekends. The **Medical Management Nurse** will be responsible for review of the… more
- Highmark Health (Tallahassee, FL)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job implements and administers strategic activities related to client retention, growth, and ... team members to achieve and/or exceed upselling opportunities. Responsible for market management (ie, awareness and management of external distribution channel… more
- CVS Health (Tallahassee, 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 ...with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedule may… more
- CVS Health (Tallahassee, 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 ...information. - Evaluates documentation/information to determine compliance with clinical policy , regulatory and accreditation guidelines. - Accurately applies critical… more