- Molina Healthcare (Tampa, FL)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and...the specific programs supported by the plan such as Utilization Review , Medical Claims Review ,… more
- V2X (Orlando, FL)
- …W-TRS Program Manager . The Sr. Lead Logistician will lead the management and control of program wide assets (Government and Contractor Property), including ... (eg, receiving, inspection, inventory scheduling, movement, hand receipts, storage management , cataloging, property utilization , sub-contractor hand receipts,… more
- ChenMed (Miami, FL)
- …join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management /Clinical Appropriateness review cases in our organization. ... Process and Quality improvement in our developing area of Delegated Utilization Management . **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides Delegated… more
- CenterWell (Jacksonville, FL)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care… more
- CenterWell (Daytona Beach, FL)
- …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care… more
- Elevance Health (FL)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... a State agency.*_ **Preferred Skills, Capabilities and Experiences:** + 1-2 years Utilization Management experience strongly preferred. + Strong oral, written,… more
- Elevance Health (Miami, FL)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... role required by a State agency. **Preferred Skills, Capabilities, and Experiences:** + Utilization Management experience is a plus. + Ability to meet necessary… 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
- TIAA (FL)
- …throughout the organization. + Ensures Wealth Advisor Consultant teams are maximizing utilization of internal systems and customer relationship management (CRM) ... of Advisor Consultants and serves as a mentor and manager for the team. **Key Responsibilities and Duties** +...and responsibilities within the division, including budget and expense management and CRM system utilization . + Communicates… more
- Elevance Health (Tampa, FL)
- …to work East Coast time zone hours.** The **Medical Director** will be responsible for utilization review case management for Commercial business in the New ... state or territory of the United States when conducting utilization review or an appeals consideration and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more