- Evolent (Tallahassee, FL)
- …Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer , Interventional Pain Management, you will be a key member of the utilization ... Reviewers. **What You Will Be Doing:** + Serve as the Physician Clinical Reviewer for Interventional Pain Management, reviewing cases that do not initially meet the… more
- Evolent (Tallahassee, FL)
- …for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a meaningful impact ... reviews for cardiovascular cases, serving as a specialty-matched expert reviewer for invasive/interventional cardiology cases (eg, cardiac catheterizations, coronary… more
- Sedgwick (Tampa, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Consultant **PRIMARY PURPOSE:** To review all estimates and supporting ... assignments promoting a professional client relationship; + Performs quality review audits for compliance with audit requirements, service contract requirements,… more
- MyFlorida (Orlando, FL)
- OPERATIONS REVIEW SPECIALIST - 60022447 Date: Nov 12, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 865038 Agency: Children and Families Working Title: OPERATIONS REVIEW SPECIALIST - 60022447 Pay Plan: Career Service Position Number: 60022447… more
- Devereux Advanced Behavioral Health (Viera, FL)
- **Description** Are you looking to advance your career in Admissions & Utilization Review ? If you answered yes, then consider joining our team where you can take ... your career to the next level. **Being the Utilization Review Coordinator at Devereux has its Advantages!** Devereux Florida is a nonprofit behavioral health… more
- Sedgwick (Jacksonville, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bill Review Analyst | Professional Liability | Remote **PRIMARY PURPOSE** : The Bill ... Review Analyst plays a critical role in supporting the...Participates in the ongoing refinement of billing guidelines and review procedures to reflect evolving legal and industry standards.… more
- University of Miami (Medley, 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 ... Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely. The Inpatient Coding... Specialist (H) to work remotely. The Inpatient Coding Review Specialist (H) under the general direction of the… more
- BayCare Health System (Tampa, FL)
- …trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions as the primary ... related parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient stays and… more
- Molina Healthcare (Tampa, FL)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant education… more
- HCA Healthcare (Ocala, FL)
- …you want to join an organization that invests in you as a Cash Post Review Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... difference. We are looking for a dedicated Cash Post Review Specialist like you to be a part of...our team. **Job Summary and Qualifications** The Cash Posting Review Specialist is responsible for researching and resolving posting… more