- Sedgwick (Orlando, FL)
- …disclosures, and state-level insurance regulations + Participate in coaching, quality reviews, and process improvement initiatives **ADDITIONAL FUNCTIONS and ... + Performs other duties as assigned. + Supports the organization's quality program. **QUALIFICATIONS** + Active Property & Casualty or Personal Lines… more
- Marriott (Longboat Key, FL)
- …during all departmental meetings and focuses on continuous improvement. * Meet quality standards and customer expectations on a daily basis. * Handles guest ... * Interacts with guests to obtain feedback on product quality and service levels. * Provides services that are...and statistical data. * Assists in the management of claims by ensuring proper procedures are followed and documented.… more
- Molina Healthcare (St. Petersburg, FL)
- …responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of ... regulatory compliance adherence (in conjunction with functional counterparts) and quality metrics. Accountable for offering innovative guidance and solutions to… more
- Evolent (Tallahassee, FL)
- …trend selection/development, and estimation of Evolent's ability to reduce cost and improve quality + Leading a team in the analysis and interpretation of cost and ... public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related… more
- UIC Government Services and the Bowhead Family of Companies (Avon Park, FL)
- …effort, toprovideoversight, direction, and coordination to ensure high standards of quality are accomplished in support of operations for the Primary Training ... characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,...of services which are performed with a focus on quality results. Headquartered in Springfield, VA, we are a… more
- Molina Healthcare (St. Petersburg, FL)
- …Management program and action plan, which includes strategies that ensure a high quality of patient care, ensuring that patients receive the most appropriate care at ... internally and externally. Responsible for the investigation of adverse incidents and quality of care concerns. Participates in preparation for NCQA and URAC… more
- Walgreens (Palm Springs, FL)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Brandon, FL)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen Co. policy regarding Good ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (North Fort Myers, FL)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen Co. policy regarding Good ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Sedgwick (Jacksonville, FL)
- …audit project supervisory reviews are completed; a robust and action-oriented quality assessment review program is effective, and enhanced as general accepted ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more