• Pre-Authorization Nurse

    Humana (Tallahassee, FL)
    …or comparable (such as Interqual, etc.) ​ **Preferred Qualifications** + Utilization Review /Quality Management experience + BA/BSN degree **Work-At-Home ... patient's care. Coordinate patient transfers and document appropriately in MSR. Review inpatient outlier cases, ensure appropriate and timely discharge planning, and… more
    Humana (01/07/26)
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  • Clinical Reviewer, Nurse (Medical Oncology)

    Evolent (Tallahassee, FL)
    …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the… more
    Evolent (12/10/25)
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  • Workfront Configuration Specialist

    Eliassen Group (Tallahassee, FL)
    …analyze requirements. + Provide expert advice on best practices for Workfront utilization . + Conduct/participate in regular meetings to review project progress ... **Anywhere** **Type:** Contract **Category:** Development **Industry:** Insurance **Workplace Type:** Remote **Reference ID:** JN -122025-104729 **Date Posted:** 12/14/2025 **Shortcut:**… more
    Eliassen Group (12/20/25)
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  • Account Executive, Vehicle Remarketing - Greater…

    Ally (Tallahassee, FL)
    **General information** **Ref #** 21365 ** Remote ?** Yes **Ally and Your Career** * Ally Financial only succeeds when its people do - and that's more than some cliche ... the assigned territory, designed to grow the engaged dealer base and increase utilization . * Attend meetings and conventions, dealer and remarketing trade shows and… more
    Ally (12/19/25)
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  • Manager 2 Service and Support

    Intuit (Tallahassee, FL)
    …promoters across both groups. + Manage a complex and fully geographically remote workforce, inclusive of significant hiring waves corresponding with peak season ... and Efficiency Metrics like Queue SLA, Customer Serving Time, Utilization , Handle Time and team engagement metrics like Expert...to develop and deliver a robust talent and performance review process to ensure high caliber expert, lead, and… more
    Intuit (12/19/25)
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  • Organizational Development Consultant

    GCG (Tallahassee, FL)
    …adoption + Drive change management and user training to ensure effective system utilization across the organization + Monitor system performance and user feedback to ... management process (1+ years) + Experience leading and facilitating 9-box talent review and succession planning (1+ years) + Hands-on experience implementing or… more
    GCG (10/29/25)
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  • Medical Director -Spine

    CVS Health (Tallahassee, FL)
    …consistent responses to members and providers. Leads all aspects of utilization review /quality assurance, directing case management Provides clinical expertise ... effective use of health care resources. **This is a remote based (work at home) based anywhere in the...opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director (Spine)… more
    CVS Health (10/28/25)
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  • Client Success Manager

    Norstella (Tallahassee, FL)
    Client Success Manager Company: MMIT Location: Remote , United States Date Posted: Jan 5, 2026 Employment Type: Full Time Job ID: R-1667 **Description** **About ... access to therapies, by ensuring successful deployment, adoption, and utilization of MMIT's products and services. The CSM is...roles. + Meet regularly with clients to build relationships, review use cases and recent Market Access updates, … more
    Norstella (01/06/26)
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  • Pre-Service Coordinator

    Humana (Miramar, FL)
    …in the Health Plan contractual agreements. The Pre-Service Coordinator will review inbound referrals and correspondence for processing, fulfilment or resolution ... of benefits coverage and eligibility for services per Health Plan contract. Review referral data matching it against specified medical terms and diagnoses or… more
    Humana (12/24/25)
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  • Client Success Renewals Specialist

    Norstella (Tallahassee, FL)
    Client Success Renewals Specialist Company: MMIT Location: Remote , United States Date Posted: Dec 22, 2025 Employment Type: Full Time Job ID: R-978 **Description** ... a yearly or multi year basis * Responsible to contract terms review /changes, documentation in Salesforce, partnering with client team, and client communication… more
    Norstella (12/23/25)
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