• Regional VP, Health Services

    Humana (Tallahassee, FL)
    …initiatives. + Collaborate with various operational functions in the centralized utilization management team and other shared services. + Participate in quality ... governance, peer review , and grievance resolution processes. Innovation & Transformation: +...pilot and scale emerging technologies and care models (eg, remote monitoring, clinical pathways, tech-enabled care). + Lead regional… more
    Humana (12/31/25)
    - Related Jobs
  • Specialist Technical Account Manager - Federal

    Oracle (Tallahassee, FL)
    …procedures, contractual budgets, providing expert-level insight on the development, utilization , and revision of contractual agreements. + Maintains customer ... to key leaders. Technical Delivery Management: + Leading the review of and advises customers on optimal use and...service to customers and optimize overall product and service utilization to achieve ROI goals, influencing roadmaps and customer… more
    Oracle (12/07/25)
    - Related Jobs
  • Medical Director - Pharmacy Appeals

    Humana (Tallahassee, FL)
    …Delivery Systems, health insurance, or clinical group practice management + Utilization management experience in a medical management review organization ... us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments… more
    Humana (12/03/25)
    - Related Jobs
  • Certified Athletic Trainer

    Battelle Memorial Institute (Homestead AFB, FL)
    …within the ATC's scope of practice + Participate in periodic meetings to review the care provided to patients to identify opportunities for improvement. If not ... present, review meeting notes/information. + Serve as an advisor to...Manager and/or Coordinator + Document care provided, work performed, utilization , referrals, and all other information in the Military's… more
    Battelle Memorial Institute (12/24/25)
    - Related Jobs
  • Workplace Design Program Manager

    Coinbase (Tallahassee, FL)
    …you, there's no better place to be. While many roles at Coinbase are remote -first, we are not remote -only. In-person participation is required throughout the ... spaces that emphasize the work, the brand, and the people.* Coinbase's remote -first approach emphasizes flexibility and inclusivity, allowing most employees to work… more
    Coinbase (12/22/25)
    - Related Jobs
  • UM Administration Coordinator

    Humana (Tallahassee, FL)
    …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... first** The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities… more
    Humana (01/01/26)
    - Related Jobs
  • Nurse Case Manager

    Battelle Memorial Institute (Eglin AFB, FL)
    …within legal and professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report actual or potential ... model allows you to work 60% in-office and 40% remote , with Monday and Tuesday as common in-office days,...programs for equal treatment of all staff and full utilization of all qualified employees at all levels within… more
    Battelle Memorial Institute (12/30/25)
    - Related Jobs
  • Strength and Conditioning Specialist

    Battelle Memorial Institute (Homestead AFB, FL)
    …strength and conditioning equipment + Participate in periodic meetings to review and evaluate physical training programs and identify opportunities for improvement. ... + Perform administrative duties such as maintaining records of utilization , workload, conducting or participating in education programs, and...model allows you to work 60% in-office and 40% remote , with Monday and Tuesday as common in-office days,… more
    Battelle Memorial Institute (12/30/25)
    - Related Jobs
  • NeuroPsychologist

    Battelle Memorial Institute (Hurlburt Field, FL)
    …Medical Evaluation Board (MEB), Temporary Disability Retirement List (TDRL) status review , Physical Evaluation Board (PEB), and clinical consultations from various ... JC standards, including managing schedules, reviewing consultations, monitoring appointment utilization , ensuring patient access to care, and conducting mandatory… more
    Battelle Memorial Institute (12/30/25)
    - Related Jobs
  • Cognitive Performance Specialist

    Battelle Memorial Institute (Hurlburt Field, FL)
    …performance development, and planning + Participate in periodic meetings to review human performance training provided to patients and identify opportunities for ... USSOCOM HQ and POTFF staff + Document work performed, utilization , referrals, and all other information in the HP...model allows you to work 60% in-office and 40% remote , with Monday and Tuesday as common in-office days,… more
    Battelle Memorial Institute (12/24/25)
    - Related Jobs