- Evolent Health (Tallahassee, FL)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Director , Utilization Management, you'll work with your managers, front line clinical team, and ... for our members, providers, and customers. **Collaboration Opportunities:** The Director , Utilization Management, will partner with a variety of different… more
- CVS Health (Tallahassee, FL)
- …in Florida and have a FL License without encumbrances. In the Medical Director role you will provide oversight for medical policy implementation. You will ... timely and consistent responses to members and providers. As a Medical Director you will focus primarily on overseeing utilization review / quality assurance… more
- Highmark Health (Tallahassee, FL)
- …in the capacity as a clinical pharmacist the incumbent may also review UM requests; provide consultation into the case and disease management identification process, ... overall efficiencies. + Manage individual projects for timely review with the Director , Clinical Pharmacy. + Participate in Medicare Stars performance measures to… more