- Evolent Health (Tallahassee, FL)
- …resolutions, driving results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for ... UM Manager in supervising the operational productivity of the Utilization Management nurses by implementing and maintaining...flow of information through the UM department. The UM Lead , in collaboration with the UM Manager and Director,… more
- Bristol Myers Squibb (Tampa, FL)
- …metrics to measure the cost-of-service delivery and ongoing administration and vendor utilization . + Lead vendor management activities, contract renewals, ... managing comprehensive benefits programs with a customer-centric and successful vendor management approach. This position requires a blend of strategic planning,… more
- Elevance Health (Tampa, FL)
- RN Utilization Management Nurse Sr. (Medicaid-InPatient) JR130851 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This is ... Holidays** per year and **occasional** weekends. The **Nurse Medical Management Sr** serves as T **eam Lead **...Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or… more
- Elevance Health (Tallahassee, FL)
- ** Utilization Management Representative II** **Location:** Must live within 50 miles of a Florida PulsePoint. The ** Utilization Management Representative ... eligibility information. + May act as liaison between Medical Management and internal departments. Responds to telephone and written...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Tampa, FL)
- …be willing to obtain a compact nursing license for this position. + Utilization Management experience is strongly preferred. + Previous UM experience working ... **: Monday through Friday, 10:30 - 7:00 Eastern time** The **Licensed Utilization Review II** responsible for working primarily with healthcare providers to help… more
- CVS Health (Tallahassee, FL)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director of Observability Governance is responsible for leading strategic ... standards to meet the needs of all CVS Health businesses. As a Lead Director of Observability Governance, you will collaborate with observability engineering and… more
- ManTech (Miami, FL)
- …for advancement. Currently, **ManTech** is seeking a motivated, career and customer-oriented **Knowledge Management Lead ** to join our team in the DMV area. We ... Ensures the delivery of continuous value by the Knowledge Management (KM) team to customers and TDL staff. +...disabled and protected veterans are urged to apply. ManTech's utilization of any external recruitment or job placement agency… more
- AdventHealth (Maitland, FL)
- …Bachelor's degree in Nursing Degree (or advanced degree) + Experience in Case Management , Utilization Management , Transitional Care + Experience with ... 32751 **The role you'll contribute:** The Care Manager System Educator Lead (CMEL) is a care management professional who supports the Director of System Care … more
- CVS Health (Tampa, FL)
- …to interact with a variety of external and internal audiences including senior management . Required Qualifications : * 5 to 7 years' clinical and/or managed care ... experience in the healthcare industry and quality management . * Previous experience that reflects a proven track...(CHCQM) by the American Board of Quality Assurance and Utilization Review Providers prior to employment. A minimum of… more
- Citigroup (Tampa, FL)
- Job Description The CDO DQ Product Lead is accountable for management of large professional disciplinary This role is a critical member of the Chief Data Office ... Data Tooling Strategy function. The Data Quality Product Senior Lead Analyst is a strategic professional who stays abreast...+ Develops training programs to assist LOB groups in utilization and adoption of tooling. + Delivers against ambitious… more