• Cardiology Physician Clinical Reviewer

    Evolent Health (Tallahassee, FL)
    …Doing:** As a Cardiology, Physician Clinical Reviewer you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
    Evolent Health (08/29/24)
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  • Medical Director

    Highmark Health (Tallahassee, FL)
    …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... participates as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
    Highmark Health (10/23/24)
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  • Government Operations Consultant II

    MyFlorida (Tallahassee, FL)
    …assistance to county health department regional coordinators in areas of accurate data management for utilization of data for targeted outreach, knowledge of ... pending reports of outstanding cases in CaST, Centers for Disease Control and Prevention (CDC) Minimum Data Elements (MDE)...provider service utilization and in meeting all MDE core indicators. Assists… more
    MyFlorida (11/01/24)
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