- Molina Healthcare (Tampa, FL)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.… more
- MyFlorida (Tallahassee, FL)
- MANAGEMENT REVIEW SPECIALIST - SES - 79000454 Date: Nov 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 865829 Agency: Business and Professional Regulations Working Title: MANAGEMENT REVIEW SPECIALIST - SES - 79000454 Pay Plan: SES Position Number:… more
- Molina Healthcare (Orlando, FL)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying ... * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.… more
- HCA Healthcare (St. Petersburg, FL)
- …you find this opportunity compelling, we encourage you to apply for our Medical Technologist PRN opening. We promptly review all applications. Highly qualified ... individual is recognized. Submit your application for the opportunity below: Medical Technologist PRNHCA Florida Northside Hospital **Benefits** HCA Florida Northside… more
- CVS Health (Tallahassee, FL)
- …research, analyze and document analytic leads or referrals to send for investigative review . + Review company clinical and payment policies to determine the ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Molina Healthcare (Jacksonville, FL)
- **Job Description** **Job Summary** Provides support for coordination of benefits review activities that directly impact medical expenses and premium ... on the claims transactional system and COB tracking database. + Review of claims identified for overpayment recovery. **Job Qualifications** **REQUIRED… more
- Molina Healthcare (Miami, FL)
- JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary ... * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.… more
- Merck (Tallahassee, FL)
- …to interface effectively with a variety of technical platforms for the collection, review , and dissemination of medical information. + Scientific/ medical and ... **Job Description** **Role Summary** + The Regional Medical Scientific Senior Director Team Lead (RMSD TL)...full accountability for a regional, field-based team of Regional Medical Scientific Directors (RMSD) and their prioritized deliverables. +… more
- HCA Healthcare (Pensacola, FL)
- …provides satisfaction and personal growth, we encourage you to apply for our Medical Laboratory Technician opening. We promptly review all applications. Highly ... We care like family! Jump-start your career as a Medical Laboratory Technician today with HCA Florida West Hospital....colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Port St. Lucie, FL)
- …provides satisfaction and personal growth, we encourage you to apply for our Medical Office Specialist opening. We promptly review all applications. Highly ... We care like family! Jump-start your career as a(an) Medical Office Specialist today with HCA Florida St. Lucie... Office Specialist today with HCA Florida St. Lucie Medical Specialists. **Benefits** HCA Florida St. Lucie Medical… more