• Medical Director-Medicaid (ABH FL)

    CVS Health (FL)
    …consistent responses to members and providers related to precertification, concurrent review , and appeal request. This position is primarily responsible for ... including prior authorization and precertification as well as concurrent review . Cases could focus on inpatient or outpatient, acute...inpatient or outpatient, acute and post-acute as well as peer to peer calls and first level… more
    CVS Health (09/04/25)
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  • Field Medical Director, Oncology

    Evolent (Tallahassee, FL)
    …reviews to be completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers, ... provides clinical rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
    Evolent (08/19/25)
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  • APP Team Manager - Medicine, Hematology - Full…

    University of Miami (Miami, FL)
    …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . APP CORE ... management for side effects related to hematologic oncologic treatment. + Assist with Peer -to- Peer authorizations and filling out medical forms for patients. +… more
    University of Miami (07/23/25)
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  • Medicine- Medical Oncology, Assistant Professor

    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) . Sebastian ... collaborative team scientists, with a track record of excellence in research, peer -reviewed publications, and the potential to develop and/or lead clinical trials,… more
    University of Miami (10/05/25)
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  • Advanced Practice Registered Nurse…

    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) . Advanced ... Necessity for procedures and medications. + Conduct insurance communications, including peer -to- peer reviews as needed. Provide patient education and guidance… more
    University of Miami (09/27/25)
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  • National Accounts Medical Director

    Elevance Health (Miami, FL)
    …The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account ... + Leading multidisciplinary rounds for case management /complex clinical management. + Peer -to- peer outreach for both utilization reviews and also for case… more
    Elevance Health (09/23/25)
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  • Research APRN - Sccc Myeloma Institute

    University of Miami (Miami, FL)
    …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . CORE JOB ... + Responds to medical and oncologic emergencies in CTU/clinics + Assist with Peer -to- Peer authorizations and filling out medical forms for patients. + Ensure… more
    University of Miami (09/19/25)
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  • Medicine- Cardiology Research Asst Professor

    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) . Research ... to develop and execute research projects.- Publish research findings in peer -reviewed scientific journals and present research at conferences and meetings.- Assist… more
    University of Miami (07/27/25)
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  • Travel Clinical Educator RN- Atlanta

    IQVIA (Orlando, FL)
    …and education only; no sales responsibilities, and no bedside care. + Provide peer -to- peer education and in-servicing to nurses, and hospital staff to support ... this role. Candidates must possess a valid driver's license and will be subject to a review of their driving record prior to hire. + Located within 1 hour of a major… more
    IQVIA (10/11/25)
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  • Fraud Investigator I (Mid-Level) - Fraud…

    USAA (Tampa, FL)
    …of internal stakeholders and external intelligence sources (eg suppliers, peer financial institutions, information-sharing groups). + Prepares cases for presentation ... with external partners, including the National Cyber Forensic Alliance (NCFTA), peer financial institutions (FI) and law enforcement personnel. + Engagement with… more
    USAA (10/10/25)
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