- Prime Therapeutics (Tallahassee, FL)
- …every decision we make. **Job Posting Title** Clinical Pharmacist (Algo), Professional - Senior - REMOTE **Job Description** Maintains the inventory of clinical ... based upon relevant source data (eg clinical criteria, client criteria, Medicare LCD). Provides support for clinical client inquiries and internal partners.… more
- Highmark Health (Tallahassee, FL)
- …relevant audiences. + High-level of skill in leading interdepartmental and cross-functional strategy development. + Experience with managed care, Medicare and ... have the highest level of integrity and ethics and demonstrate professional representation of the company. **ESSENTIAL RESPONSIBILITIES** + Matrixed working… more
- CenterWell (Tallahassee, FL)
- …The Senior RX Clinical Programs Pharmacist oversees medication therapy, strategy on comprehensive medication reviews, and prescription drug optimization in cases ... part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health… more
- Datavant (Tallahassee, FL)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... work environment. + Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide guidance and make strategic… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Senior Program Delivery Professional strategically identifies, develops, and implements programs ... market leadership towards value-based relationships and/or improved quality metrics. The Senior Program Delivery Professional work assignments involve moderately… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Learning Design Professional II supports Humana Military's provider engagement strategy by assisting in ... understanding of services across the East region. The Learning Design Professional II applies foundational instructional design principles and adult learning theory… more
- CenterWell (Daytona Beach, FL)
- …and help us put health first** The Physician serves as a health-care professional and capable of handling a variety of health-related problems. The Physician work ... Refers the patient to specialists as needed. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues regarding technical… more
- Elevance Health (Tampa, FL)
- …designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. ... end-to-end claims/ encounter processing, as well as ensuring compliance with Medicare / Medicaid regulatory policies regarding FFS and zero-dollar claims. **How you… more
- CenterWell (Jacksonville, FL)
- …organizational & market priorities, trends, and goals, to develop a clinical strategy to advance clinical talent and performance + Interview, hire, and supervise ... staffing, operational excellence, and clinical initiatives + Champion our senior -focused primary care strategic vision and initiatives and foster stakeholder… more
- CenterWell (Port Orange, FL)
- …Refers the patient to specialists as needed. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues regarding technical ... Refers the patient to specialists as needed. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues regarding technical… more