- Elevance Health (Tampa, FL)
- …processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual benefit design ... an office._** The **Business Strategy Plan Director- MedEx (Medical Expense) Management ** is responsible for managing the development and implementation of medical… more
- Molina Healthcare (Jacksonville, FL)
- …health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs ... - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and… more
- Elevance Health (Tampa, FL)
- …+ Provides guidance for clinical operational aspects of a program. + Perform utilization management reviews to determine medical necessity and appropriateness of ... State agency. **Preferred Qualifications:** + Bilingual- Spanish speaking preferred. + Utilization Management case review experience strongly preferred. +… more
- Highmark Health (Tallahassee, FL)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create...first 6 months of employment. **Preferred** + Certification in utilization management or a related field +… more
- University of Miami (Miami, FL)
- …of technology-enabled workflows and continuous improvement towards user adoption and utilization . IT Solutions Architect 2 - ServiceNow also understands complex ... provides mentorship for application and technical teams in the on-going management of user requests, issues, and delivery of application enhancements. Establishes,… more
- Molina Healthcare (Orlando, FL)
- …chief medical officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. * ... as may be required. * Serves as a clinical resource for utilization management , chief medical officer, physicians, and member/provider inquiries/appeals. *… more
- Battelle Memorial Institute (Tampa, FL)
- …(HP) program supporting SOF personnel in locations or units without a HP Manager or Coordinator. The HPA is responsible for planning, developing, and overseeing all ... aspects of HP services, including training, readiness enhancement, equipment management , data collection, and documentation, while providing ongoing feedback and… more
- HCA Healthcare (Kissimmee, FL)
- …in similar role with respect to Automated Dispensing Cabinet (ADU) inventory management including the maintenance of controlled substance inventory and handling the ... and overseeing workflow in the pharmacy when the tech supervisor or pharmacy manager is unavailable. + Under the supervision of Director of Pharmacy, participates in… more
- V2X (Milton, FL)
- …may include, but are not limited to: + Demonstrate the necessary leadership and management skills to support the Logistics Manager in complying with the ... government contract (PWS), NAMP program, LSA Program, Property Management Plan, and company policies and procedures to ensure...Supply operations to provide sound guidance to the Logistics Manager . + Responsible to the Logistics Manager … more
- MyFlorida (Orlando, FL)
- …to include performing basic supervisory duties, monitor employee workloads, deadlines and time utilization in the absence of the Breastfeeding Manager and will ... authority to supervise and monitor employee workloads, deadlines and time utilization . Effectively communicates with and motivates employees and volunteer peer… more