- 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
- 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
- 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
- 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
- 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
- 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
- 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 (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 (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 (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
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