- Elevance Health (Tampa, FL)
- …to members and providers. + Provides guidance for clinical operational aspects of a program . + Conduct peer -to- peer clinical appeal case reviews with ... attending physicians or other ordering providers to discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May be… more
- MyFlorida (Tallahassee, FL)
- …and consultative work in the Fiscal Unit of the Bureau of WIC Program Services. The incumbent is responsible for monitoring the financial management processes of ... oversight of the daily operations of the unit, participating in developing program cost projections and coordinating the Bureau's spending plan and other required… more
- MyFlorida (Tallahassee, FL)
- …Conduct research on assigned topics, including, but not limited to: performing a review of peer -reviewed research articles, federal and state laws, other ... planning entity. The Agency is responsible for administering the Florida Medicaid program , the licensure and regulation of nearly 50,000 health care facilities, and… more
- Molina Healthcare (Jacksonville, FL)
- …with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified Professional in Healthcare Management (CPHM), ... diagnoses and treatment. * Provides second level behavioral health clinical reviews, peer reviews and appeals. * Supports behavioral health committees for quality… more
- Parexel (Tallahassee, FL)
- …channels and interactions such as: --Consultancy on protocol development, drug development program etc. --Medical review of various documents which might be ... related to assigned project/study. + Participate in the development and/or review of study documents, such as clinical protocols, Medical Monitoring Plans… more
- Oracle (Tallahassee, FL)
- …often exceeds-regulatory, customer, and security requirements. The Role - Principal Compliance Program Manager We are seeking a highly motivated individual to ... join our team as a Principal Compliance Program Manager , specializing in data center operations....on strategies, recommendations, findings, project plans, etc. . Collect, review , submit, and explain audit evidence to GRC and… more
- HCA Healthcare (Panama City, FL)
- …medical staff and advance practice professionals. Participates as an active member of peer review committees; analyzes cases and outcome data and collaborates ... HCA Florida Gulf Coast Hospital, you can be a manager in an organization that is devoted to giving!...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more
- Oracle (Tallahassee, FL)
- …to the right place. Oracle Health Government Services is seeking a skilled Federal Program Manager to join our mission-driven organization. In this role, you ... will be responsible for leading program activities and ensuring successful delivery across Oracle's risk...Controls.** In partnership with Task Order Owners, establish weekly/bi-weekly review meetings to review the risk portfolio… more
- The Falcon Group (Miami, FL)
- …electrical analysis, calculations, and coordinate design, calculations and drawings. + Performs peer review of other technical data prepared by internal ... among team members and stakeholders. + Work under supervision of a MEP Division Manager Senior Engineer. + Verify schedules and ensure adherence to project plans and… more
- Molina Healthcare (Jacksonville, FL)
- …with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified Professional in Healthcare Management (CPHM), ... services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality… more