- HCA Healthcare (Port Charlotte, FL)
- …in your career path, we encourage you to apply for our Registered Nurse Medical Surgical opening. We review all applications. Qualified candidates will be ... **Description** **Introduction** Do you have the career opportunities as a Registered Nurse Medical Surgical you want in your current role? We invest in what matters… more
- HCA Healthcare (Ocala, FL)
- …in your career path, we encourage you to apply for our Registered Nurse Medical Orthopedic opening. We review all applications. Qualified candidates will be ... you have the career opportunities as a Registered Nurse Medical Orthopedic you want in your current role? We...practice for the relevant state and specialty. Collaborating with medical providers and the care team, you will provide… more
- Elevance Health (FL)
- …teams responsible for building, scaling, and maintaining platforms for: + Medical Cost Management (claims review , payment integrity, utilization management, ... **Staff VP Engineering** - Medical Cost Management & Cost of Care **Location:**...designing, developing, and delivering enterprise technology solutions that drive medical cost management and optimize cost of care. This… more
- HCA Healthcare (Hudson, FL)
- …next step in your career path, we encourage you to apply for our RN Medical Surgical opening. We review all applications. Qualified candidates will be contacted ... Do you have the career opportunities as a(an) RN Medical Surgical you want in your current role? We...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …consistency and alignment of messaging across channels. + Serve as a champion and lead Medical Review / Promotional review processes for materials + Manage ... Scientific Communications manages the execution of the core scientific and medical communications strategy for the relevant therapeutic area portfolio. This role… more
- Air National Guard Units (Jacksonville, FL)
- …Virus (HIV) Program (maintains surveillance of Wing testing and results). Manages the Medical Review Officer (MRO) portion of the Drug Demand Reduction Program ... As a PHYSICIAN ASSISTANT (TITLE 5), GS-0603-12, you will adminsiter comprehensive medical assessments, physical assessments, and preventative medical service to… more
- Sedgwick (Tallahassee, FL)
- …and providers to support the claim request and documents decision rationale. + Completes medical review of all claims by reviewing medical documentation ... PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement, and/or complexity.… more
- University of Miami (Miami, FL)
- …initial assessment of cases referred to the Team by DCF, law enforcement or medical providers + Review the interviews of children and their caregivers prior ... or consults as indicated or at the request of the Medical Director. + Be available to review Hotline reports to determine which cases are mandatory referrals to… more
- Molina Healthcare (Miami, FL)
- …to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. ... The position also entails producing audit reports for internal and external review . The position may also work with other internal departments, including Compliance,… more
- Parexel (Tallahassee, FL)
- …role.** We're currently seeking a highly experienced Clinical Regulatory Leader, Health Authority Medical Review Team Lead, Master/Senior Medical Review ... with a regulatory agency (such as the FDA or MHRA) as a Senior / Master Medical Review Officer, Team Lead, etc. or a related medical role is required. _Depth… more