- Humana (Tallahassee, FL)
- …will work closely with established functions inside utilization management ( Medical Director, clinician decision making teams, quality audits, prior authorization ... years + experience working with CMS Compliance Regulations + Experience working with medical directors in some capacity ie Committees, projects. + 3 or more years'… more
- ALDI (Hudson, FL)
- …+ PerkSpot National Discount Program In addition, **eligible employees** are offered: + Medical , Prescription, Dental & Vision Insurance + Generous Vacation Time & 7 ... 100% of pay + Up to 2 Weeks Paid Caregiver Leave at 100% of pay + Short and...gender expression, age, marital status, mental or physical disability, medical condition, genetic information, military or veteran status, pregnancy… more
- Humana (Tallahassee, FL)
- …Excel, PowerPoint, and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim's environment ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- Humana (Tallahassee, FL)
- …Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior ... comprehensive reviews of medication care plans. This includes evaluating medical necessity, analyzing overall utilization, and identifying unusual usage patterns.… more
- HCA Healthcare (Gainesville, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Humana (Tallahassee, FL)
- …that meet the short- and long-term plan objectives + Responsible for identifying medical cost trends and leadership of medical cost improvement initiatives + ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- Otsuka America Pharmaceutical Inc. (Jacksonville, FL)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... expertise on products and their approved conditions. This model enhances patient, caregiver , and HCP experiences by focusing on local care delivery, aiming to… more
- Humana (Tallahassee, FL)
- …orders and arrange a safe facility discharge. + Work with UM Nurses, Pharmacy, Medical Directors and other Departments. + During downtime make calls to UM Nurses, ... + Experience with the CarePlus Platform. + Proficient and/or experience with medical terminology and/or ICD-10 codes. + Member service + Experience with Utilization… more
- AdventHealth (Daytona Beach, FL)
- …AdventHealth Daytona Beach **The community you'll be caring for:** 301 MEMORIAL MEDICAL PKWY, Daytona Beach, 32117 **The role you'll contribute:** The Inpatient ... Hospital. Assists in maintaining effective communication between the patient, caregiver , physician, contact person, admission office and the Rehabilitation Hospital… more
- ALDI (Haines City, FL)
- …+ PerkSpot National Discount Program In addition, **eligible employees** are offered: + Medical , Prescription, Dental & Vision Insurance + Generous Vacation Time & 7 ... 100% of pay + Up to 2 Weeks Paid Caregiver Leave at 100% of pay + Short and...gender expression, age, marital status, mental or physical disability, medical condition, genetic information, military or veteran status, pregnancy… more
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