- CVS Health (Tallahassee, FL)
- …Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible ... other internal and external constituents in the coordination and administration of the utilization /benefit management function. + _WFH and hybrid Colleagues… more
- United Therapeutics (Tallahassee, FL)
- …therapies that treat PAH, pulmonary hypertension associated with interstitial lung disease (PH-ILD) and neuroblastoma, a rare pediatric cancer. Our near-term ... to provide continuous education on UT products, pumps and disease states, ensuring that physicians, nurses and other healthcare...make a difference. The Regional Field Director, RNS Program Management serves as a director of all clinical field… more
- CenterWell (Tallahassee, FL)
- …(ie, single resource) offerings for bridging or episodic support for medication management , chronic disease management , deprescribing, behavioral health ... Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as… more
- Evolent (Tallahassee, FL)
- …Doing:** As a Cardiology, Field Medical Director 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
- Highmark Health (Tallahassee, FL)
- …pharmacy, account, and member educational initiatives that promote the Organization's Formularies, utilization management programs, and disease management ... Therapeutics Committee review. + Assist in the development and implementation of utilization management programs including but not limited to: prior… more
- CVS Health (Tallahassee, FL)
- …Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible ... interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing… more
- 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
- MyFlorida (Tallahassee, FL)
- …FLORIDA DEPARTMENT OF HEALTH - OPEN COMPETITIVE OPPORTUNITY Division of Disease Control and Health Protection MEDICAL/HEALTH CARE PROG ANALYST - SES ... Care Plan to maximize resources, data analysis, data distribution and data utilization . Ensures that staff are appropriately trained and cross-trained. Develops and… more
- Fujifilm (Tallahassee, FL)
- …Biomarkers sales through that community. As assigned interface with Senior Management teams from major IVD manufacturers. Maintain a comprehensive understanding of ... **Job Description** **Duties and responsibilities** + Must be able to demonstrate disease state competency and articulate a strong value proposition for the… more