• Sr. Administrative Assistant

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... the Division of Rheumatology. + Draft of original correspondence for Chief Review and signatory (eg letter of recommendations, letters to editors, letters responding… more
    University of Miami (07/14/25)
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  • Specialist, Print Production

    Molina Healthcare (Tampa, FL)
    …requirements * Meet with Production Manager and business owners as needed to review and understand details of print and fulfillment business requirements for various ... resolution * Input and manage projects into company procurement database * Review , reconcile, route and submit all invoices for payment and maintain reporting… more
    Molina Healthcare (08/30/25)
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  • ESG Compliance Specialist

    AssistRx (Maitland, FL)
    …change. + Performs document control functions, including tracking, processing, review , formatting, distribution, and archiving of documents. + Evaluate document ... checks before document finalization. + Assists the Compliance Manager in the review and management of third-party audits. + Verifies compliance with insurer rules,… more
    AssistRx (08/29/25)
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  • Medical Management Specialist I

    Elevance Health (Tampa, FL)
    …to refer or assign case (utilization management, case management, QI, Med Review ). + Provides information regarding network providers or general program information ... all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information. **Minimum… more
    Elevance Health (08/28/25)
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  • Compliance Audit Manager

    Cardinal Health (Tallahassee, FL)
    …data analytics and the revenue cycle team in identifying the time period of review and conducts a focused audit to identify any financial liability of the Company. ... facility fee coding and auditing. + Expert-level knowledge of Medicare and Medicaid documentation and coding rules and guidelines;...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
    Cardinal Health (08/27/25)
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  • Utilization Management Administration Coordinator…

    Humana (Tallahassee, FL)
    …for chart reviews for the nursing team + Builds and pends authorizations for review + Responsible for inbound and outbound calls to engage providers and members to ... (proficient to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization… more
    Humana (08/23/25)
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  • Senior Specialty Consultative Pharmacist

    CenterWell (Tallahassee, FL)
    …phone call related include but are not limited to: + Pharmacist Care Plan/Treatment Review + Review prescriptions for accuracy + Check for drug-drug interactions ... + Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + Previous clinical experience in managed care… more
    CenterWell (08/21/25)
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  • Pharmacy Warehouse Technician

    Humana (Miramar, FL)
    …inventory through transaction documentation, process and procedure verification, and system review . They assist the pharmacy through filling orders and supplying ... while on duty, uses computerized punch time system correctly. + Attends annual review and department in services, as scheduled. + Attends staff meetings, reads and… more
    Humana (08/21/25)
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  • Clinical Pharmacist (Algo), Professional-Senior-…

    Prime Therapeutics (Tallahassee, FL)
    …based upon relevant source data (eg clinical criteria, client criteria, Medicare LCD). Provides support for clinical client inquiries and internal partners. ... + Ability to collaborate and work well as a team. + Data review and interpretation skills required. **Preferred Qualifications** + Managed care experience (Health… more
    Prime Therapeutics (08/19/25)
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  • Clinical Business Operations Representative 2…

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical ... and coordinate patient appointments, testing, and procedures within the division. + Review and update patient demographics and insurance information during calls. +… more
    University of Miami (08/19/25)
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