- Sumitomo Pharma (Tallahassee, FL)
- …team based in the US. He/she will primarily function as the Regulatory reviewer for assigned products. This position is responsible for providing strategic, expert ... limited coaching and mentoring. **Job Duties and Responsibilities** Advertising & Promotion Review Activities + Review and approve materials that comply with… more
- Evolent (Tallahassee, FL)
- …Reviewers. **What You Will Be Doing:** + Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity ... available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review… more
- The Hartford (Lake Mary, FL)
- Medical Reviewer - CT08BE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... the PPD Clinical Consultant will apply his/her medical expertise to review impairment ratings utilizing AMA and state-specific software supported guidelines. The… more
- Northrop Grumman (Clearwater, FL)
- …the subcontractor on Engineering issues and questions. + Act as a technical reviewer of CDRL/SDRLs for quality assessment. + Act as an advisor to ... present technical materials during major reviews such as Critical Design Review , System Verification Review , Test Readiness Review , and other program reviews… more
- 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
- Evolent (Tallahassee, FL)
- …or required. **What You Will Be Doing:** + Serve as the Physician match reviewer in Imaging 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
- Terracon (Jacksonville, FL)
- …of plans and specifications, observation and inspection, and the writing, preparation, and review of related reports for the services provided. Review drawings ... and recommend changes. Research and resolve design and construction problems. Assign, review , and evaluate laboratory or field data for inclusion in reports. Apply… more
- Molina Healthcare (Jacksonville, FL)
- …ARIZONA RESIDENCY REQUIRED** This position will support the Arizona state Plan. We are seeking a candidate with an Arizona RN/and or a compact licensure. The ideal ... candidate will have experience with UM and prior authorization, within both Physical Health and Behavioral Health. Candidates with a Behavioral Health background are highly preferred. Further details to be discussed during our interview process. Remote… more
- Intermountain Health (Tallahassee, FL)
- …Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, ... extraordinary interpersonal skills, and the ability to resolve complex issues in a timely and accurate manner.. **Essential Functions** + Identifies appropriate payment details and saves back-up as appropriate. + Researches, validates and makes adjustments to… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …+ Monitors and investigates electronic branch or home office communications through the use of various reports and systems. + Pro-actively monitors and ensures ... discussions pertaining to activities in clients' accounts and activities of financial advisors meet firm requirements and standards. + Communicates findings and manages concerns in a professional manner whether that be written or orally. + Interfaces with… more