- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …teams + Utilize platforms like Veeva Vault, to manage content lifecycle and Medical Review submissions. + Track and report content usage and effectiveness, ... regional and affiliate medical teams. + Serve as a champion for Medical Review / Promotional review processes for materials + Manage content lifecycle… more
- Travelers Insurance Company (Tallahassee, FL)
- …influences which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State ... regulations and medical guidelines to establish medical review policies. Works in close collaboration with the Claim leaders and in partnership with other … more
- Parexel (Tallahassee, FL)
- …PV workflows and projects and participate in safety processing for studies including medical review of serious adverse events. * Support regulatory safety ... and interactions such as: --Consultancy on protocol development, drug development program etc. -- Medical review of various documents which might be audited by… more
- Centene Corporation (Tallahassee, FL)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making. + Supports effective implementation… more
- Elevance Health (Miami, FL)
- …an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology regimens and supportive care. + Perform ... physician-level case review , following initial nurse review , of chemotherapy regimens. + Determine medical ...nurse review , of chemotherapy regimens. + Determine medical necessity of requests using guidelines and client-specific health… more
- Evolent (Tallahassee, FL)
- …with a focus on **value-based strategy and transformation** . Unlike traditional medical review roles that emphasize volume throughput, this position integrates ... redefining how care is delivered for individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a pivotal role in… more
- CVS Health (Tallahassee, FL)
- …care of patients with severe, complex, and/or treatment resistant illnesses through peer review and educational interventions. * Work with medical director teams ... focusing on inpatient care management, clinical coverage review , member appeals clinical review , medical claim review , and provider appeals clinical … more
- Parexel (Tallahassee, FL)
- …in high quality consultation on protocol development or drug development programs, medical review of various documents, collaboration on internal therapeutic ... Respect, Empowerment & Accountability. **Parexel is looking for a Medical Director with a very strong background in Ophthalmology...very strong background in Ophthalmology to join our Global Medical Sciences team.** **The role can be based remo**… more
- MyFlorida (Tallahassee, FL)
- …filed in the State of Florida. Training is provided on relevant policy, medical review and vocational evaluation. Potential advancement based on successful ... OPS MEDICAL DISABILITY EXAMINER - 64858502 Date: Nov 18,...No: 865406 Agency: Department of Health Working Title: OPS MEDICAL DISABILITY EXAMINER - 64858502 Pay Plan: Temp Position… more
- BayCare Health System (Tampa, FL)
- …related parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient stays ... trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions as the primary… more