Utilization Management Jobs in Gainesville, FL

Reporting to Experian Health the Manager Payer Operations will lead a team of EDI Analysts responsible for optimizing connectivity monitoring and ensuring operational excellence across electronic transaction workflows. The Manager will be an important escalation point guide process i More...

Reporting to Experian Health the EDI Analyst II will manage and support the electronic exchange of healthcare information. Responsibilities include establishing connectivity to exchange transactions monitoring and troubleshooting EDI transactions ensuring compliance with HIPAA regulat More...

Classification Title:CEVSS PROGRAM COORDINATORClassification Minimum Requirements:Bachelor degree in an appropriate area of specialization (such as non-profit management social work business administration communications or related fields) and two years of professional experience.Vali More...

If you are an Internal City Employee Retiree or Dependent/Survivor of a City Employee please apply internally via Career Icon in your Workday account. Make a dierence in the community you live in! As a Community Builderan employee with the City of Gainesville you will have a direct ha More...

Overview:Glycomine is searching for a highly motivated and experienced individual for the position of Medical Director/Senior Medical Director Medical Affairs to support our programs in development and pipeline efforts.  This role will serve as a scientific and clinical expe More...

OverviewCritical Illness Recovery HospitalCase Manager$7500 Sign On BonusRequires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines).AndPrevious experience in critical care r More...

About This Role:As the Senior Director of Medical Affairs Statistics you will play a pivotal role in leading a dynamic team focused on evidence generation and health technology assessment. This position is critical to ensuring the development and dissemination of scientific evidence o More...

OverviewCritical Illness Recovery HospitalCase ManagerRequires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines).AndPrevious experience in critical care required.Previous di More...

Classification Title:Res/Fellowship Program Crd IClassification Minimum RequirementsBachelors degree and three years of relevant experience; or an equivalent combination of education and relevant experience.Job Description:The University of Florida College of Medicine Department of Em More...

As the Field Medical Strategy & Insights Lead within the Global Medical Affairs (GMA) organization you will spearhead the development of an overarching strategy for the Global Field Medical Team (MSLs) to support clinical trials site engagement scientific exchange and insights gat More...

About This RoleThe Medical Director Lupus role is a part of Immunology Specialty Care North America (US) Medical a strategic partner within Biogen that helps inform medical practice across our therapeutic areas and pipeline to improve meaningful patient outcomes. As a key member of t More...

About This Role:As a Medical Director Clinical Development Immunology you will be an integral member of the Immunology Therapeutic Area within the Clinical Development Organization. In this dynamic role you will play a critical part in shaping and advancing clinical programs particula More...

About This Role:As a Senior Medical Director for Alzheimers disease & Dementia (ADD) Clinical Development you will be at the helm of pioneering programs that have the potential to transform lives. Youll lead and oversee clinical development activities across both early and latesta More...

The Director of Medical Engagement Excellence Oncology reports to the Senior Director of Medical Affairs Operations.  The Director of Medical Engagement Excellence is responsible for leading all aspects of medical training for field teams to uphold the highest standards of medic More...

If you are an Internal City Employee Retiree or Dependent/Survivor of a City Employee please apply internally via Career Icon in your Workday account. Make a dierence in the community you live in! As a Community Builderan employee with the City of Gainesville you will have a direct ha More...

Medical Director Gainesville Veterinary Hospital (Gainesville GA)Lead with heart. Practice with purpose.Gainesville Veterinary Hospital is seeking a Medical Director to join and lead our established multidoctor team in beautiful Gainesville Georgiajust north of Atlanta and right by L More...

What Does A Director Medical Writing DoThe role of a Director Medical Writing involves leading the creation of highquality medical content and ensuring compliance with regulatory standards. Here are some key responsibilities and qualifications for this position: Key Responsibilit More...

Classification Title:Res/Fellowship Program Crd IJob Description:Responsible for the daily management of the Department of Anesthesiology subspecialty fellowshiptraining programs. Reviews all ACGME and other governing body policies and procedures to ensureprogram compliance. Provides More...

DescriptionProgram Coordinator Student Life & LeadershipLocation: Gainesville or Tallahassee FL (hybrid)Schedule: Flexible PartTime Up to 30 hours per weekCompensation: $20$22 per hourReports to: Director of Student Life & LeadershipFLSA Status: NonExemptSummary of Mandatory Q More...

Plasma OperationsProvides operational initiatives with the goal of aligning center processes improving operational efficiencies to ensure center development and ultimately to reduce process variation for consistencies within fleet.Plasma Multi DisciplineManages two or more subfamilies More...