- Wolters Kluwer (Tallahassee, FL)
- …opportunities in the named customer base, including: + Conducting regular account review meetings and reviewing account utilization management reporting to ... **_ This is a remote position covering the New England territory _**...communication **Travel Requirements** + 25-50% within territory \#LI - Remote _Applicants may be required to appear onsite at… more
- Prime Therapeutics (Tallahassee, FL)
- …clinical experience. + Experience in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. + At minimum must ... every decision we make. **Job Posting Title** Infusion Referral Nurse- REMOTE **Job Description** Under supervision, is responsible for performing referral services… more
- Optiv (Tampa, FL)
- _This position will be fully remote and can be hired anywhere in the continental US_ The Practice Manager is a key leadership role within our Services consulting ... documented, up to date, and consistently applied across all projects + Review and approve project deliverables for accuracy, completeness, and alignment with… more
- Ryder System (Tallahassee, FL)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **JOB SUMMARY:** ... IT infrastructure domains including data centers, network/ communications, server utilization , virtual environments, storage, and application development and IT… more
- Cognizant (Tallahassee, FL)
- …guidelines and regulations + Experience in the analysis and processing of claims, utilization review /quality assurance procedures + Must be able to work with ... technologies to transform a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical**… more
- Prime Therapeutics (Tallahassee, FL)
- …we make. **Job Posting Title** Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director, Pharmaceutical Trade Relations is responsible for ... including items such as manufacturer and GPO negotiation, rate and utilization management policy creation and interpretation, formulary modeling and pull through… more
- Prime Therapeutics (Tallahassee, FL)
- …make. **Job Posting Title** Clinical Solutions Strategy Senior Director - Remote **Job Description** The Clinical Solutions Strategy Senior Director is responsible ... and implementation of innovative drug solutions, including optimizing drug utilization , patient outcomes, and cost-effectiveness through value-based care models,… more
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** Underwriter - REMOTE **Job Description** The Underwriter is responsible for assisting in the development ... develop pricing in response to moderate to complex RFP's + Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing… more
- Prime Therapeutics (Tallahassee, FL)
- …make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** Innovative business clinician accountable for building and ... fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for additional… more
- CenterWell (Tallahassee, FL)
- …hospital utilizers to identify ways to extend wellness and decrease utilization . + Ensures patient progression towards desired outcomes by monitoring symptom ... primary care centers, patients, and other staff with suicide risk assessment review , next steps, and guidance. + Assists patients expressing suicidal thoughts as… more