- Highmark Health (Tallahassee, FL)
- …Benefits, Customer Service, Membership & Billing), Provider Data Management , Underwriting, and Professional Relations. **ESSENTIAL RESPONSIBILITIES** + Provide ... including gathering data from multiple sources related to Benefit/Claim Utilization , Enrollment, Networks ( utilization , disruption, geo-access) and making… more
- CVS Health (Tallahassee, FL)
- …years of Administrative and Customer Support work experience in healthcare and/or behavioral health field. + Advanced proficiency with technology including ... At CVS Health , we're building a world of health...EAP On-Site Counseling Program, ensuring customer satisfaction and successful utilization of the EAP On-Site product, services, and solutions.… more
- HCA Healthcare (Tallahassee, FL)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest...Leon and Gadsden Counties. Our facilities include a state-of-the-art Behavioral Health Center, Cancer Center, Chest Pain… more
- Highmark Health (Tallahassee, FL)
- …Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies, ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management… more
- Ascension Health (Jacksonville, FL)
- …promote and oversee patient safety, continuous performance and quality improvement, risk management and efficient resource utilization . + Provides leadership to ... but not limited to; + Quality and Safety + Utilization Review + Peer Review and Credentialing + Growth...within the context of a multi-site and growing regional health system. + A management style which… more
- Sharecare (Tallahassee, FL)
- …members to become empowered and active participants in their own healthcare management for their chronic condition. By providing health education and ... **Job Description:** Sharecare is the leading digital health company that helps people - no matter...nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management… more
- 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 ... (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration/ Management or Public Health **EXPERIENCE** **Required** + 5 years… more
- Elevance Health (Miami, FL)
- …care. The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... - FEP** , a proud member of the Elevance Health , Inc. family of companies, it is a powerful...a State agency. **Preferred Skills, Capabilities, and Experiences:** + Utilization Management experience is a plus. +… more
- HCA Healthcare (Kissimmee, FL)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... like family! Jump-start your career as a Director Case Management today with HCA Florida Osceola Hospital. **Benefits** HCA...Hospital offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- HCA Healthcare (Tallahassee, FL)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party… more