- Sedgwick (Tallahassee, FL)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work guidance. + Generating phone calls to… more
- Evolent (Tallahassee, FL)
- …on organizational performance and patient health. This role supports capitated risk and value-based strategy development, medical cost management activity, ... capabilities and processes related to the development/underwriting of capitated risk proposals including cost & use projections, trend selection/development, and… more
- Healthfirst (FL)
- …and terminations. + Collaborate with internal teams (eg, sales, customer service, compliance ) to ensure seamless management of members. + Monitor ,report, ... ensures core Enrollment and Billing activities are managed in compliance with State and CMS guidelines and to ensure...and to ensure member satisfaction + Lead cross functional risk assessment root cause analysis activities to identify, assess… more
- Banner Health (FL)
- …and billing codes. Works with clinical documentation improvement and quality management staff to: align diagnosis coding to documentation to improve the ... ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and trends, and offers… more
- NBC Universal (Miami, FL)
- …close partnership with the Global Security Operations and Business Continuity & Crisis Management teams. The purpose of this position is to support overall EHS ... an emphasis on Telemundo Enterprises. The successful candidate will work with management and production teams, Miami, FL facility, and support domestic and… more
- Humana (Tallahassee, FL)
- …impacting approximately $300M in annual revenue. + Collaborate with peer leaders in Risk Management and Grievances & Appeals to implement best practices and ... insurance operations. This role is responsible for driving process improvements, ensuring compliance , and leading a large team to elevate member and provider… more
- Performance Food Group (Tampa, FL)
- …and occupational safety and food safety/quality assurance, as well as DOT compliance . The Safety/Training Manager will follow best management practices to ... Category:** Risk /Safety **Preferred Qualifications:** * Bachelor's Degree in Safety Management or a related field * Food Safety certifications such as HACCP… more
- Siemens Energy (Orlando, FL)
- …+ Proficiency in Project Management or engineering (cost-quality-time controlling, Risk Management , Scheduling, Customer Management , Leadership, Team ... 'Project Excellence at Siemens Energy' (PE@SE) & the Business Management System. + Ensuring compliance with all...building, Change- Management and Claims Management etc.) with a strong commitment to customer satisfaction.… more
- Prime Therapeutics (Tallahassee, FL)
- …federal and state regulatory inquiries + Develop and implement litigation and risk management strategies that align with Prime's business objectives, mitigate ... risk and protect the company's brand and business +...ensure high-quality representation + Oversee Prime's Records and Information Management (RIM) program, eDiscovery platform, employment law and HR… more
- Defense Contract Management Agency (Perry, FL)
- …provisions of contracts by designing, implementing, and maintaining a risk -based surveillance program and assessment plan. Identifies opportunities for process ... Government acquisition at one or more suppliers facilities. Ensures contractor compliance with all requirements related to the design, manufacturing, repair,… more