- Travelers Insurance Company (Tallahassee, FL)
- …skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties ... to keep Travelers at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work as soon as medically… more
- Elevance Health (Miami, FL)
- …of the Carelon Services businesses, including behavioral health, medical benefits utilization management , specialty care solutions, and care delivery companies. ... and legal colleagues to harmonize, centralize, and improve existing contract management workflows and policies across the Carelon Services businesses. + Become… more
- MTC (Panama City, FL)
- …records; observe applicable HIPPA rules. 7. Implement basic cost containment and utilization management for patient care and facility operations. 8. Comply ... Time Off (PTO) + Paid Holidays **Impact lives with Management & Training Corporation!** MTC operates the **Bay Correctional...with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is… more
- MTC (Panama City, FL)
- …Monitors all potential catastrophic illnesses. + Implement basic cost containment and utilization management for inmate care and facility operations. + Complies ... duty and military leave + Opportunities for job advancement Impact lives with Management & Training Corporation (MTC)! At the **Bay Correctional Facility in Panama… more
- Elevance Health (Miami, FL)
- …clinical field and **minimum of 5 years of experience in utilization management , quality assurance and/or regulatory/accreditation standards/audits which ... Quality Auditor Lead** is responsible for participating in clinical quality management activities that ensure programs meet accreditation and regulatory standards.… more
- MTC (Graceville, FL)
- …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... of Florida with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is an Equal Opportunity Employer. All… more
- MTC (Graceville, FL)
- …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... of Florida with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is an Equal Opportunity Employer. All… more
- Prime Therapeutics (Tallahassee, FL)
- …specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products ... stakeholders through effective consultative services. **Responsibilities** + Coordinate formulary management for the client including, client specific Pharmacy &Therapeutics… more
- Harmony United Psychiatric Care (Clearwater, FL)
- …and Director of Operations to ensure appropriate and timely use of Utilization Management guidelines. Compensation Package + Excellent base compensation + ... online telehealth platform. Our services include Psychiatric/Psychological Evaluations, Medication Management , Psychotherapy & Counseling, and Neuropsychological Testing Services. Our… more
- Evolent (Tallahassee, FL)
- …in healthcare leadership roles, with expertise in musculoskeletal and radiology, utilization management , or value-based care programs. + **Strategic Acumen:** ... Value** will lead Evolent's Musculoskeletal (MSK) and Radiology Benefit Management (RBM) programs strategy and execution, driving clinical innovation, operational… more