- Evolent (Tallahassee, FL)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of...MD review process to reflect appropriate utilization and compliance with… more
- Evolent (Tallahassee, FL)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in...MD review process to reflect appropriate utilization and compliance with… more
- American Family Insurance - Corporate (Jacksonville, FL)
- …assumed reinsurance discipline within the reinsurance division of American Family Insurance . You will develop strong working knowledge of departmental procedures and ... reinsurance programs to include profitability and competitive analysis through preparation and review of various in-house reports as well as client provided. + You… more
- Elevance Health (Miami, FL)
- **National Accounts Medical Director** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... as required by law. Alternate locations may be considered. The **National Accounts Medical Director** is responsible for serving as the Operational Medical … more
- HCA Healthcare (Oviedo, FL)
- …provides satisfaction and personal growth, we encourage you to apply for our Medical Technologist opening. We promptly review all applications. Highly qualified ... **Description** Oviedo Medical Center 8300 Red Bug Lake Rd Oviedo,...plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage,… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …comprehensive review of the patient health record to abstract medical , surgical, ancillary, demographic, social, and administrative data to ensure complete data ... Information Management (HIM) section at the James Haley VA Medical Center. MRTs (Coder) are skilled in classifying ...determine budgetary requirements, to report to accrediting and peer review organizations, to bill insurance companies and… more
- MyFlorida (Daytona Beach, FL)
- …Care recommendation, Significant Additional Needs requests, Skilled Nursing Exception Letters, medical review and Incident Management System reporting for ... OPS MEDICAL CASE MANAGER - 67912017 Date: Aug 4,...competitive set of employee benefits, including: + State Group Insurance coverage options, including health, life, dental, vision, and… more
- HCA Healthcare (Aventura, FL)
- …provides satisfaction and personal growth, we encourage you to apply for our Medical Technologist opening. We promptly review all applications. Highly qualified ... Florida Aventura Hospital is a fully accredited 467-bed acute care medical /surgery facility providing award-winning inpatient and outpatient diagnostic, medical ,… more
- Evolent (Tallahassee, FL)
- …+ Provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of...MD review process to reflect appropriate utilization and compliance with… more
- Evolent (Tallahassee, FL)
- …and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially...MD review process to reflect appropriate utilization and compliance with… more
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