• Medical Director - South Carolina SE Region

    Humana (Tallahassee, FL)
    …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (07/22/25)
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  • Medical Director - Mid West Region

    Humana (Tallahassee, FL)
    …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (05/14/25)
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  • Medical Director - NorthEast Region

    Humana (Tallahassee, FL)
    …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (07/25/25)
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  • Care Manager RN - (Remote)

    Highmark Health (Tallahassee, FL)
    …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... , identification of opportunities for referral to a Health Coach/ case management , and identification and resolution of...clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS**… more
    Highmark Health (07/12/25)
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  • FSS Care Coordinator - Seminole County

    Community Based Care of Brevard, Inc. (Sanford, FL)
    …This position uses Microsoft and a web-based application for daily entry of case activity and the utilization management of service authorizations. ... Summary: This position oversees and manages the authorization and utilization of services delivered for families determined by the...a valid Florida driver s license in order to travel throughout the County. Computer skills (Microsoft and Web… more
    Community Based Care of Brevard, Inc. (07/15/25)
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  • Medical Director, Clinical Services

    Highmark Health (Tallahassee, FL)
    …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
    Highmark Health (07/29/25)
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  • IT Program/Project Manager

    Deloitte (Tampa, FL)
    …PMs, Project Coordinators, etc. + 3+ years of project / program financial management (eg, Planning, Forecasting, Budgeting, Business Case Development, etc.) in ... you will play a key role in leveraging leading program and project management practices and methodologies to enable world-class delivery of our major internal… more
    Deloitte (07/31/25)
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  • DVOP/Lver Government Op Consult II - 1

    MyFlorida (Fort Pierce, FL)
    …to mitigate individual barriers of eligible persons within case management . Knowledge, skills, and abilities, including utilization of equipment, required ... and VPL 03-14 Changes 1 & 2 through a case management process including: + Consults with...year of employment in the position. + Required to travel locally and must furnish own transportation. Where You… more
    MyFlorida (06/27/25)
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  • Child and Family Services Specialist - Circuit 18…

    Community Based Care of Brevard, Inc. (Rockledge, FL)
    …in a solution focused manner. The Child and Family Services Specialist enters case activity into FSFN, is clinically astute, offers consultation to CPI's, attends ... families to "close the loop". This position produces necessary reports on utilization in a culturally competent, flexible and responsive service delivery system.… more
    Community Based Care of Brevard, Inc. (07/30/25)
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  • Vice President, Strategic Accounts

    Datavant (Tallahassee, FL)
    …benchmarking, goal setting, timely execution, and superior leadership. + Strong utilization of SalesForce to include monitoring and documenting member information. + ... Understanding and utilization of P&Ls to assist in reducing cost while...book of business. Qualifications: + Minimum of 5 years management or sales experience in a healthcare environment +… more
    Datavant (07/03/25)
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