- Elevance Health (Tallahassee, FL)
- ** Utilization Management Representative II ** **Location:** Must live within 50 miles of a Florida PulsePoint. The ** Utilization Management ... benefits and/or eligibility information. + May act as liaison between Medical Management and internal departments. Responds to telephone and written inquiries from… more
- Highmark Health (Tallahassee, FL)
- …review and make determinations regarding physician reviewer assignments for medical management decisions. Cases requiring physician review are provider and member ... requests, received from Medical Management & Policy (MM&P) and Member Grievance Departments. * Responsible for management of Peer to Peer telephone line. Will… more