- 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 (Tallahassee, FL)
- OPERATIONS REVIEW SPECIALIST - 43004164 Date: Dec 11, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 866460 Agency: Financial Services Working Title: OPERATIONS REVIEW SPECIALIST - 43004164 Pay Plan: Career Service Position Number: 43004164… more
- BayCare Health System (Clearwater, FL)
- …ensures that the necessary information is gathered for timely and accurate utilization review and that requests for care or services are processed in accordance with ... records for each referral or authorization case. + Assist Utilization Review Nurses or Specialists with follow-up tasks, including obtaining additional clinical… more
- Centene Corporation (Tallahassee, FL)
- …a fresh perspective on workplace flexibility. Centene is hiring a **Remote Concurrent Review Nurse** to support our **Florida Medicaid** line of business. This role ... Florida nursing license** (or compact license valid in FL). + **Concurrent review experience** in a managed care or hospital/facility setting. + Ideal candidates… more
- MyFlorida (Tallahassee, FL)
- OPERATIONS REVIEW SPECIALIST - 41500190 Date: Nov 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 865196 Agency: Florida Gaming Control Commission Working Title: OPERATIONS REVIEW SPECIALIST - 41500190 Pay Plan: Career Service Position Number: 41500190… 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
- MyFlorida (Tampa, FL)
- AUDIT EVALUATION & REVIEW ANALYST - 41001236 1 Date: Dec 4, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... of the Attorney General Working Title: AUDIT EVALUATION & REVIEW ANALYST - 41001236 1 Pay Plan: Career Service...of the United States. Position Summary:This Audit Evaluation & Review Analyst position is in the Office 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
- MyFlorida (Fort Lauderdale, FL)
- …policies and procedures. Make comments on discrepancies found in the final review . Identify plan inconsistencies, plan notes that are redundant or conflict with ... logging system of critical project delivery completion and milestone dates. Review and/or develop and prepare initial and supplemental specifications packages for… more
- Oracle (Tallahassee, FL)
- …advances in generative AI, machine learning and deep learning. + Design and review the architecture of AI solutions, including data, model, training, and evaluation, ... for the best coding and engineering practices. + Participate in project planning, review , and retrospective sessions. + Identify and mitigate risks in our plans and… more