- Humana (Tallahassee, FL)
- …first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied activities and ... between 8am and 8pm EST (8 paid hours per business day)** + **Overtime available based upon business...10 Mbps is recommended to support Humana applications, per associate . + Wireless, Wired Cable or DSL connection is… more
- Humana (Tallahassee, FL)
- …is a multi-disciplinary team focused on creating data-driven strategies to transform our business and the experiences we create for our members, provider partners & ... will generate tangible value to all stakeholders. Within Utilization Management , our goal is to enable members to receive...Our team employs a rigorous process to set specific business priorities, identifies the greatest sources of value, and… more
- Humana (Tallahassee, FL)
- …caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and ... in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from… more
- Siemens Energy (Orlando, FL)
- …and procedures. + Be the Domain expert on S4Hana for the Field Service Order Management Team. + Work with other Business Process S4Hana team members to ensure ... **A Snapshot of Your Day** The Order Management is the expert for Field Service Outage...and billing in real time. **What You Bring** + Associate 's degree in finance or equivalent work experience is… more
- Humana (Tallahassee, FL)
- …be overseeing the vendor contracting, due diligence and day-to-day relationship management of Interoperability vendor partners. You will contribute to the growth ... expanding partnerships with key vendor partners. As the Vendor Relationship Management Enterprise Transformation Lead, the ideal candidate will be comfortable… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require… more
- Humana (Tallahassee, FL)
- …3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + Demonstrated excellent time management ... Demonstrated successful relationship building. + Experience working with cross-functional business areas. **Preferred Qualifications** + Expertise on NCQA accreditation… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and ... **1 company holiday in 2025** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting comprehensive… more
- Compass Group, North America (Tampa, FL)
- …o/s, etc) + Develop an account level incremental sales plan with local management ; track performance and increase profitability (Owners Business Plan) + ... minimum of 1 year of related experience. + Route management , retail and merchandising experience is preferred + Ability...change the essential functions of the job based on business necessity. We will consider for employment all qualified… more