• Utilization Management

    CVS Health (Tallahassee, FL)
    …more personal, convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Clinical Consultant opportunity for ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable… more
    CVS Health (11/29/24)
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  • Utilization Management Nurse…

    CVS Health (Tallahassee, FL)
    …and one minor holiday yearly. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... solutions to make health care more personal, convenient and affordable. **Position Summary:** Utilization Management is a 24/7 operation and work schedules may… more
    CVS Health (12/20/24)
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  • Utilization Management Nurse…

    CVS Health (Tallahassee, FL)
    …and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with ... make health care more personal, convenient and affordable. **Position Summary** _Utilization Management is a 24/7 operation and work schedule may include weekends,… more
    CVS Health (12/18/24)
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  • RN Clinical Consultant , Claims…

    Guardian Life (Tallahassee, FL)
    **Position Summary** The RN Clinical Consultant serves as a clinical resource for the investigation and assessment of medical information regarding ... medical reviews and analysis of long-term disability claims. The RN Clinical Consultant identifies restrictions, limitations and duration impacting functional… more
    Guardian Life (12/20/24)
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  • National Accounts Clinical Program…

    CVS Health (Tallahassee, FL)
    …In this role, the consultant is empowered to: + Provide progressive consultative clinical insights based on analysis of clinical plan utilization and ... and review plan performance, discuss recommendations, etc. In this role, the consultant will: * Provide consultative clinical insights based on analysis… more
    CVS Health (12/13/24)
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  • Clinical Transformation Consultant

    Highmark Health (Tallahassee, FL)
    …bachelor's degree + 5-7 years of experience in the healthcare industry (hospital clinical operations/ management , physician practice management or clinical ... that are required to accelerate the achievement of goals related to clinical operations excellence and optimal, sustained patient care (as manifested by patient… more
    Highmark Health (12/13/24)
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  • Specialty Clinical Program Director II…

    Prime Therapeutics (Tallahassee, FL)
    …and medical benefits, reimbursement solutions, drug access + Serve as a clinical consultant to pharmaceutical manufacturing partners, providing expertise in ... specialty medication management and patient care + Collaborate with ...to internal and external stakeholders + Analyze and interpret clinical data, identifying trends to support drug utilization more
    Prime Therapeutics (12/18/24)
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