- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …in utilization of resources, avoidable days/denials. Works in collaboration with Appeals Management/Medical Director in the appeals process. + Responsible ... Preferred: + Bachelor's or master's degree in nursing (BSN/MSN) + Certified Case Manager (CCM) or similar certification + Fluent in Spanish preferred. Skills and… more
- AssistRx (Orlando, FL)
- …for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. + Ensure cases move through the process as ... + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in...and quotas being met at the discretion of the manager . Requirements Qualifications to be a Bilingual Patient Access… more
- Elevance Health (FL)
- …not required for posting. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical program and/or independently ... the United States when conducting utilization review or an appeals consideration and cannot be located on a US...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- City of Lakeland (Lakeland, FL)
- …to the Planning & Zoning Board, Zoning Board of Adjustment and Appeals , Historic Preservation Board, and/or Neighborhood Association Coalition. + Performs related ... are subject to approval by Department Head and City Manager or designee for less than ninety (90) days....recognized planning agency as a planner, designer and/or project manager ? + No experience + Some experience, but less… more
- Elevance Health (Miami, FL)
- …increase effectiveness and quality. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical program and/or ... the United States when conducting utilization review or an appeals consideration and cannot be located on a US...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Audacy (Orlando, FL)
- …Title: Promotions Assistant** **Department: Promotions** **Reporting To: Promotions** ** Manager ** **Employment Type:** **Part Time** **Work Arrangement:** **Hybrid** ... Orlando. While it is "Orlando's Home For Throwbacks" it's brand transcends generations and appeals to listeners from all walks of life. As such, we are looking for… more
- Elevance Health (Tampa, FL)
- …a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Florida Atlantic University (Boca Raton, FL)
- …and Residential Education. Summary of responsibilities: + Process assignments, appeals , cancellations, and assignment change requests for West Campus (first-year ... inquiries, comments, and complaints. + Serve as the backup to the Office Manager Specialist as it relates to answering phones and assisting with in-person inquiries… more
- Elevance Health (Tampa, FL)
- …for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use of company ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Elevance Health (Miami, FL)
- …for system edits. + Coordinates research and responds to system inquiries and appeals . + Conducts research of claims systems and system edits to identify ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more