- AdventHealth (Orlando, FL)
- …Medical Directors and/or discusses cases with payer representatives to facilitate claim resolution and build payer relationships when needed Report and collaborates ... and share observations and provider improvement opportunities. Collaborates with Medical Director (s) to review and provide insight regarding medical guidelines and… more
- Veterans Affairs, Veterans Health Administration (Ocala, FL)
- …provided that such programs were sanctioned by the VHA Central Office Program Director for Psychology and the VHA Office of Academic Affiliations at the time ... doctoral program. Licensure: Hold a full, current, and unrestricted license to practice psychology at the doctoral level in...able to award you credit for the experience/education/training you claim . These are the KSA's for this subject position:… more
- MyFlorida (Orlando, FL)
- …basis for the required college education. Requires possession of a valid Driver's License . Please Note: There will be a numerically based work sample administered ... developing and complying with required corrective actions. Monitor and conducts first claim reviews for new sponsors. Monitors and address with the correct guidance… more
- MyFlorida (Tallahassee, FL)
- …the processing of returned checks resulting from premium or prescription claim adjustments. Responsible for overseeing the development and implementation of training ... for improvement. Document findings and make recommendations to the ADAP Director for planning, implementation, and quality improvement. Provides weekly and monthly… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …provided that such programs were sanctioned by the VHA Central Office Program Director for Psychology and the VHA Office of Academic Affiliations at the time ... doctoral program. Licensure: Hold a full, current, and unrestricted license to practice psychology at the doctoral level in...able to award you credit for the experience/education/training you claim . These are the KSA's for this subject position:… more
- Veterans Affairs, Veterans Health Administration (Lake City, FL)
- …provided that such programs were sanctioned by the VHA Central Office Program Director for Psychology and the VHA Office of Academic Affiliations at the time ... doctoral program. Licensure: Hold a full, current, and unrestricted license to practice psychology at the doctoral level in...able to award you credit for the experience/education/training you claim . These are the GS-14 KSA's for this subject… more
- MyFlorida (Port Saint Lucie, FL)
- …employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. **Other vacant Senior Registered ... required. + Must have a valid Florida Registered Nursing license . + Must have excellent customer service and interpersonal...Works under the direct supervision of the Executive Nursing Director (DON). + Supervise and direct nursing personnel on… 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
- UIC Government Services and the Bowhead Family of Companies (Avon Park, FL)
- …Enlisted Terminal Attack Controller (ETAC) or Air Traffic Controller (ATC), Weapons Director , a previous range control officer or equivalent test experience. + ... business travel purposes, applicants must have a valid driver license for this position and will be subject to...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… 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