• Utilization & Disease

    Conviva (Tallahassee, FL)
    …of our caring community and help us put health first** The UM Administration Coordinator. Provides non-clinical support for the policies and procedures ensuring best ... service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care… more
    Conviva (12/18/24)
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  • Program Specialist

    Veterans Affairs, Veterans Health Administration (Tallahassee, FL)
    …databases for statistical analysis. Authors and prepares statistical reports regarding utilization management and clinic visits. Development and presentation of ... You will be rated on the following Competencies for this position: Accountability Administration and Management Plan and organize work Experience refers to paid… more
    Veterans Affairs, Veterans Health Administration (12/21/24)
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  • Field Medical Director, Cardiology

    Evolent (Tallahassee, FL)
    …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
    Evolent (11/15/24)
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  • Part-Time Weekend Medical Director (Remote)

    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 ... participates as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
    Highmark Health (12/13/24)
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