- Centene Corporation (Tallahassee, FL)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
- Highmark Health (Tallahassee, FL)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Conviva (Tallahassee, FL)
- …of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing security architecture, ... ensure the enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in implementing security… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Director , IT Portfolio Management for Enterprise Information Protection (EIP) develops and executes ... technology and innovation to improve and mature Humana's security posture. The Director develops and executes on programs defined to implement security controls,… more
- Takeda Pharmaceuticals (Tallahassee, FL)
- …will inspire you and empower you to shine? Join us as an Associate Director , Data Configuration Engineer in our Cambridge, MA office. At Takeda, we are transforming ... transformation templates for reuse for study level configuration tasks. The Associate Director Data Configuration Engineer (DCE) oversees a team that configures and… more
- CenterWell (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Director , Complex Care Strategy Advancement will play a pivotal role in driving the strategic ... Leveraging expertise in health trend forecasting and data analysis, the Director will collaborate across functions (particularly Data, Technology, Analytics, … more
- Prime Therapeutics (Tallahassee, FL)
- …every decision we make. **Job Posting Title** Data Visualization Consultant - Remote **Job Description** The Data Visualization Consultant supports the business in ... engineering, physics, accounting, finance, economics, computer sciences or business/social and behavioral science or related area of study, or the equivalent… more
- Centene Corporation (Tallahassee, FL)
- …on best practice models and utilization management processes + Interact with the Medical Director , or designee, to discuss clinical authorization questions and ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Evolent (Tallahassee, FL)
- …required. + Entering data into a proprietary system generating cases for both the medical and behavioral health reviewers. These requests may be submitted via ... also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our... reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, Clinical Reviewers.… more
- Evolent (Tallahassee, FL)
- …required. + Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted via ... at Evolent will serve as a point of contact for processing medical treatment requests in accordance with departmental policies, regulatory requirements, and client… more