• Clinical Documentation Specialist 1…

    University of Miami (Hialeah, FL)
    …Documentation Specialist 1 provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and ... or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Clinical...utilization of acute care services. + Facilitates appropriate physician… more
    University of Miami (07/24/25)
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  • Medicare Sales Specialist Hourly…

    CVS Health (Tallahassee, FL)
    …We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a specialized team who will ... all sales presentations. + Servicing of existing members and inquiries related to utilization of their product, benefits, etc. + Cross selling applicable products to… more
    CVS Health (08/22/25)
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  • Claims Adjudication Specialist

    Cognizant (Tallahassee, FL)
    …experience. * Experience in the analysis and processing of claims for payments, utilization review /quality assurance procedures. * Must be able to work with ... is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate adjudication of… more
    Cognizant (08/20/25)
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  • Clinical Specialist II

    Abbott (Miami, FL)
    …certified on EP products. + Requires a minimum of 6 months in Clinical Specialist position. + Minimum of 2 years clinical experience (internal or external with ... + Achieves or exceeds expectations in most recent performance review . + Requires an average of 15+ cases a...over last 6 months). + Demonstrate ability to increase utilization of Abbott Advanced Mapping and Ablation Tools. +… more
    Abbott (08/14/25)
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  • SQPE Specialist I

    Cleveland Clinic (Stuart, FL)
    …international leader in patient safety. As a Safety Quality and Patient Experience Specialist I, you will direct our safety, quality and patient experience work. ... compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality,… more
    Cleveland Clinic (08/08/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Tallahassee, FL)
    … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a… more
    Evolent (07/30/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and… more
    Molina Healthcare (08/15/25)
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  • Sr. Associate, Government Compliance - Asset…

    L3Harris (Malabar, FL)
    …additional reports + Analyze the asset portfolio to identify areas for potential re- utilization or increased utilization of assets to reduce capital expenditures ... + Coordinate the submittal of inventory disposal request through prime contractors. + Review PIEE Property Position Report for property in the custody of L3Harris. +… more
    L3Harris (07/10/25)
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  • Human Services Program Analyst

    MyFlorida (St. Petersburg, FL)
    …referrals to medical providers as needed. + Processes stat referrals as assigned. Data Review + Verify data requested from source documents is entered with a 95% ... accuracy rate. + Review statistical reports in Logi. + Assist the Business Operations Specialist in the development and implementation of guidelines to be used… more
    MyFlorida (08/15/25)
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  • Mktg Spc Events/Data Analytics

    Fujifilm (Tallahassee, FL)
    **Position Overview** The Marketing Specialist , Events & Data Analytics in the FUJIFILM Healthcare Americas Corporation Endoscopy division is responsible for the ... identifying activities, sponsorships, and equipment needed to ensure success. + Review and consideration of event participation levels and requirements, involving… more
    Fujifilm (08/11/25)
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