• 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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  • Human Services Senior Sup-F/C - SES - APD/ Dddp

    MyFlorida (Chattahoochee, FL)
    …subtleties of group dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the workplace culture, our community, ... are timely and accurately filed in the resident charts. + Initiates appropriate management action to address and notify behavioral teams of any issues associated… more
    MyFlorida (11/14/24)
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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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