• Clinical Account Manager - Georgia PDL…

    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
    Prime Therapeutics (07/24/25)
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  • Licensed Clinical Social Worker - Tampa…

    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
    CenterWell (07/18/25)
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  • Sr. Director Actuarial Forecasting - REMOTE

    Prime Therapeutics (Tallahassee, FL)
    …decision we make. **Job Posting Title** Sr. Director Actuarial Forecasting - REMOTE **Job Description** The Senior Director of Actuarial Forecasting leads a team ... functional leadership to develop and maintain projected trend assumptions related to utilization , unit cost, and gross/net rebate assumptions + Owns the annual… more
    Prime Therapeutics (07/12/25)
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  • Principal Underwriter - REMOTE

    Prime Therapeutics (Tallahassee, FL)
    …every decision we make. **Job Posting Title** Principal Underwriter - REMOTE **Job Description** The Principal Underwriter is responsible for achieving profit, ... guarantees and other financial considerations. **Responsibilities** + Evaluates the utilization and financial experience of customers and prospects; primarily… more
    Prime Therapeutics (07/11/25)
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  • Sr Director Clinical Strategy and Oncology…

    Prime Therapeutics (Tallahassee, FL)
    …Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description** The Senior Director Clinical Strategy and Oncology ... implementation of innovative drug solutions, including optimizing optimize drug utilization , patient outcomes, and cost-effectiveness through value-based care models,… more
    Prime Therapeutics (07/01/25)
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  • Manager, Project Management ( remote )

    AssistRx (Orlando, FL)
    …assigned project managers + Ensures PM utilize scope management practices + Review and/or approve Status Reports, Project Schedules, Financial Summaries, etc + ... transition to operations + Drive to business outcomes & utilization , not just deadlines + Drives adherence to IT...Functions as a Working Team Leader + Forecast resource utilization and capacity to achieve optimal staffing ratios and… more
    AssistRx (08/09/25)
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  • Clinical Review Nurse

    Actalent (Orlando, FL)
    …of cases. Essential Skills + Experience in utilization management, concurrent review , prior authorization, utilization review , case management, and ... + Active Compact RN License, Compact LPN is okay too + Utilization Management/Concurrent Review experience. + ICU/ER experience. + Strong communication… more
    Actalent (08/02/25)
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  • Senior Technology Business Management Analyst…

    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** : **Summary** The ... IT infrastructure domains, including data centers, network/ communications, server utilization , virtual environments, storage, application development, and IT Services.… more
    Ryder System (08/01/25)
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  • Clinical Documentation Specialist 1…

    University of Miami (Hialeah, 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 Clinical ... Documentation Specialist 1 provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and … more
    University of Miami (07/24/25)
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  • Senior Analyst, Healthcare Analytics - Risk…

    Molina Healthcare (FL)
    …multiple data sources, crosswalks, and built-in validation checks. + Use peer-to-peer review process and end-user consultation to reduce errors and rework. + Assist ... Demonstrate Healthcare experience in Quantifying, Measuring and Analyzing Financial and Utilization Metrics of Healthcare + Advanced knowledge of Databricks +… more
    Molina Healthcare (08/14/25)
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