• Coordinator , Utilization

    Evolent (Tallahassee, FL)
    …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
    Evolent (12/24/24)
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  • Coordinator , Intake Utilization

    Evolent (Tallahassee, FL)
    …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
    Evolent (12/04/24)
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  • Utilization & Disease Management

    Conviva (Tallahassee, FL)
    …caring community and help us put health first** The UM Administration Coordinator . Provides non-clinical support for the policies and procedures ensuring best and ... 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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  • UM Administration Coordinator

    Humana (Tallahassee, FL)
    …first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied ... Performs computations. Typically works on semi-routine assignments. The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures… more
    Humana (12/17/24)
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  • Onsite Well-Being Coordinator - Seminole…

    The Cigna Group (Tallahassee, FL)
    **Dedicated Well-Being Coordinator Role Summary** The Well-Being Coordinator is designated to one Cigna client and works closely with the Cigna account ... management team and the client's human resources/ well-being team...and well-being goals. The primary focus of the Well-Being Coordinator is to promote whole-person health and well-being. The… more
    The Cigna Group (12/07/24)
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  • Sr. Field Performance Coordinator

    Sunrun (Tallahassee, FL)
    …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service… more
    Sunrun (12/07/24)
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  • Senior Intake Coordinator

    Highmark Health (Tallahassee, FL)
    …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status… more
    Highmark Health (11/09/24)
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  • FDC-Correctional Programs Consultant--Central…

    MyFlorida (Tallahassee, FL)
    …along with make recommendations on best practices. + Assist the Statewide Re-Entry Coordinator and Volunteer Coordinator in a variety of complex duties requiring ... Assists with the monitoring of the bureaus grant awards and funding utilization . Assists with the development of contract scope and contract/program monitoring… more
    MyFlorida (12/20/24)
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  • Government Operations Consultant II

    MyFlorida (Tallahassee, FL)
    …Responsibilities: This is a highly responsible professional position as the budget coordinator in the Violence and Injury Prevention Section, Bureau of Family Health ... and expenditures; conducting analysis of surplus/deficit expenditures to ensure appropriate utilization and timely spending; allocation of budget authority and the… more
    MyFlorida (12/18/24)
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  • Administrative Assistant I

    MyFlorida (Tallahassee, FL)
    …manager and acting as an assistant to the Unit Manager and Operations & Management Consultant Managers; ensuring workflow between the unit and the bureau office is ... facilities/entities. Specific responsibilities and duties are as follows: Assignment coordinator - reviews, completes, and/or distributes correspondence tracking and public… more
    MyFlorida (12/12/24)
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  • Operations Analyst II

    MyFlorida (Tallahassee, FL)
    …the monthly screening data validation process led by the Screening Resource Coordinator for hospitals, birthing centers, and primary care physicians. Complete the ... Abilities: This position will require knowledge, skills, and abilities, including: + Utilization of equipment, required for the position: + Knowledge of office… more
    MyFlorida (12/21/24)
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