- CenterWell (Tallahassee, FL)
- …medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, ... with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of mentored training, daily work is performed… more
- Humana (Tallahassee, FL)
- …the best course of action. This position will report to an Associate VP in Actuarial Valuation and will have significant exposure to Humana's Appointed Actuary ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- BayCare Health System (Bartow, FL)
- …system and medical staff's mutual interests and responsibility for quality assurance, appropriate utilization review, process improvement teams, credentialing and ... Or - Doctorate - Osteopathic Medicine; + Preferred - Masters - Healthcare Administration; + Preferred - Masters - Business Administration **Required Experience:** +… more