- Evolent (Tallahassee, FL)
- …or required. **What You Will Be Doing:** + Serve as the specialty match reviewer in Vascular cases, that do not initially meet the applicable medical necessity ... Provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Citigroup (Jacksonville, FL)
- …are in compliance with all necessary requirements. Responsible for managing the review process. Contract with vendors; manage vendors to on-time delivery and quality ... on a common job tracking system. Participate in the review of portfolios. On occasion may lead an ad...characteristics affecting value. Highly productive and efficient as a reviewer . Work autonomously and require little direction for single… more
- Highmark Health (Tallahassee, FL)
- …and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal ... the department. + Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. + Recommend staffing… more
- Oracle (Tallahassee, FL)
- …into production. + Strong publication record, including as a lead author or reviewer , in top-tier journals or conferences. + Experience leading and mentoring teams ... advances in generative AI, machine learning and deep learning. + Design and review the architecture of AI solutions, including data, model, training, and evaluation,… more
- Oracle (Tallahassee, FL)
- …in generative AI, machine learning and deep learning. + Design and review the architecture of generative AI, 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
- MyFlorida (Tallahassee, FL)
- …those solicitations on behalf of Planning & Design Section. Participates as a primary reviewer and ensures BID process is managed smoothly up to the contract routing ... and effectively. + Perform contract closeout duties, including contract evaluation and review and documentation of provider performance. + Review , approve, and… more
- Oracle (Tallahassee, FL)
- …production. + Strong publication record, including as a lead author or reviewer , in top-tier journals or conferences. + Experienced leading senior scientists and ... advances in generative AI, machine learning and deep learning. * Design and review the architecture of AI solutions, including data, model, training, and evaluation,… more
- Evolent (Tallahassee, FL)
- …focus on **value-based strategy and transformation** . Unlike traditional medical review roles that emphasize volume throughput, this position integrates utilization ... with collaborative engagement and innovation. **Core Responsibilities** + **Clinical Review & Peer Collaboration** + Serve as the physician... & Peer Collaboration** + Serve as the physician reviewer for oncology cases that do not initially meet… more
- AdventHealth (Daytona Beach, FL)
- …other conferences and training as appropriate. + Participates in Quality Assurance peer review , as a reviewer and reviewee. Timely correction of abstractions ... public reporting. The ODS-C serves as the Cancer Registry content expert to review patient diagnosis, treatment, and outcomes across the care continuum. The ODS-C is… more
- Cayuse Holdings (Tallahassee, FL)
- …on all projects impacting technology to ensure all DR requirements are met. + Review project scope & identify DR deliverables for any projects or work related to ... SN as DR deliverables are completed + Collect and review SaaS vendor DR plans and test results to...correct DR plan preparer (SN 'Supported By' SME) and reviewer (SN 'Managed By' Mgr) + Ensure all enterprise… more