- CVS Health (Tallahassee, FL)
- …tech education from a Florida Board-approved training program.) + 1+ year(s) of experience in retail healthcare , preferably in a high-volume call center + ... refill * Assist customers with placing orders in conjunction with their healthcare programs * Assist customers with retail pharmacy-related issues and other… more
- Humana (Tallahassee, FL)
- …+ Minimum of one (1) year of LTSS (Long Term Supports and Services) experience . + Previous experience in utilization management. + Comprehensive knowledge of ... and Excel. **Preferred Qualifications** + Bachelor's degree. + Previous Medicare/Medicaid experience . + Previous case management experience . + Previous CGX… more
- Humana (Tallahassee, FL)
- …other professional license + Minimum three, (3) years of post-degree clinical experience in private practice or other patient care. (ie, child development, ... cognitive function + Minimum one, (1) year of managed care/health plan experience **Preferred Qualifications** + Experience with utilization review process +… more
- Humana (Tallahassee, FL)
- …licensures without restrictions + A minimum of three, (3) years varied clinical nursing experience . + A minimum of one, (1) year of experience in utilization ... Qualifications** + BSN + Behavioral Health Utilization Management + Health Plan experience working with large carriers + Previous Medicare/Medicaid experience a… more
- ChenMed (Miami, FL)
- …to join our team. Senior Database Engineer with 5+ years of experience driving business growth and operational efficiency through the design, implementation, and ... database technologies, ensuring high availability, scalability, and security. + Proven experience in designing and developing data warehousing solutions using SSIS… more
- Cardinal Health (Tallahassee, FL)
- …to internal ethics and compliance policies related to areas such as privacy, HIPAA and FCPA, among others. This job family resolves concerns from business unit ... electronic medical records. + Professional and/or hospital services auditing experience . + Exceptional Customer Service Skills. + Proven interpersonal communication… more
- Merck (Tallahassee, FL)
- …needs, priorities, or concerns of SLs and/or patients. **Required** **Qualifications, Skills, & Experience ** + PhD, PharmD, DNP, DO, or MD + Proven competence and a ... minimum of 3 years of relevant therapeutic area experience beyond that obtained in the terminal degree program...networking skills + A thorough comprehension of FDA, OIG, HIPAA , and other ethical guidelines, laws, and regulations relevant… more
- Humana (Tallahassee, FL)
- …your skills to make an impact** **Required Qualifications** + Anaplan OWP implementation experience and understanding of other Anaplan modules + Experience with ... cloud platforms and services. + Excellent problem-solving and communication skills. + Experience with DevOps principles and practices. + Experience with data… more
- Elevance Health (FL)
- …services and natural support systems. + Ensures compliance with all HIPAA , OSHA, and other federal, state, and local regulations. **Minimum Requirements:** ... the equivalent and a minimum of 1 year of experience in behavioral health or a minimum of 6...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Humana (Tallahassee, FL)
- …+ **MUST have Compact License** + **3+ years of Skilled Nursing Facility experience and or Previous experience in utilization management** + Prior clinical ... Bachelor's degree in a related field + Health Plan experience + Previous Medicare/Medicaid Experience a plus...meet productivity requirements, and to protect member PHI / HIPAA information. Travel: While this is a remote position,… more