- Jacobs (Fort Lauderdale, FL)
- …* Aligned PM Performance * Operational governance, process adherence and quality * Claims against the company * New sales opportunities KEY ROLES & RESPONSIBILITIES ... service and solutions to Clients * Keeps Global and Regional Management and Director (s) of Programs informed of and engaged in critical project issues and… more
- Cardinal Health (Tallahassee, FL)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine ... coders, billers and other appropriate staff. This position will also support the Director with transactional audit diligence and integration planning, as well as the… more
- Molina Healthcare (Jacksonville, FL)
- …and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general development of the Operational Oversight ... to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan, monitoring and reporting… more
- Molina Healthcare (Orlando, FL)
- …matrix, HEDIS work plans, and all product timelines. + Works with the Director to manage contacts within the plan(s) and/or Molina corporate, external auditors, ... software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and… more
- Sedgwick (Orlando, FL)
- …Develops preferred supplier list of third-party recruiters; works with the National Director of staffing to negotiate discounted contract rates for staffing needs. + ... degree from an accredited college or university preferred. PHR or SPHR Certification preferred. **Experience** Four (4) years of staffing experience or equivalent… more
- Sarasota County Government (Sarasota, FL)
- …North County Program Director and provide coverage for judges during small claims pre-trials, along with other duties as assigned. About the Schedule Work Hours: ... with parties to encourage voluntary participation in mediation. + Facilitate small claims court proceedings and assign volunteers to mediate cases. + Schedule,… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …Nurse Manager is accountable to the Consolidated Patient Account Center (CPAC) Director , manages RUR Assistant Nurse Managers, RUR Nurses, and general schedule (GS) ... the nursing process to conduct clinical reviews for the purpose of pre- certification , admission, continued stay, and discharge reviews to obtain approval from third… more
- University of Miami (Miami, FL)
- …across the healthcare enterprise. Working under the direction of the Director of Revenue Integrity Systems, the analyst collaborates with clinical departments, ... a pivotal role in ensuring revenue integrity through: trend reporting and claims analysis, development of payor scorecards, Charge Description Master (CDM) reviews,… more
- Polk County Public Schools (Bartow, FL)
- …the Superintendent of Schools or Assistant Superintendent for Instructional Services, and Director of Prevention Programs & Services. Serves as cooperative member of ... to students including, but not limited to, any insurance or Medicaid claims . **Non-Essential Functions of this Job** Performs other duties as assigned. **Knowledge,… more
- MyFlorida (Panama City, FL)
- …The position works under general supervision of the Alternative Dispute Resolution Director . The responsibilities of this position include, but are not limited to: ... to facilitate resolution. + Coordinates the day-to-day operations of the Small Claims mediation programs in Bay, Holmes, Jackson, and Washington counties and… more