- Centene Corporation (Tallahassee, FL)
- …necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care + Assists with service ... Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/ Certification :** + LPN - Licensed Practical Nurse - State… more
- Elevance Health (Miami, FL)
- …care management plan and modifies as necessary. + Interfaces with Medical Directors and Health Professionals on the development of care management treatment plans. ... + Prior "telephonic" Case Management experience with a Managed Care Company preferred + Certification as a Case Manager. + Ability to talk and type at the same… more
- Elevance Health (Tampa, FL)
- …field work to stakeholder groups with limited IT knowledge (eg, Board of Directors Audit Committee). + Provide sufficient evidentiary data to support the work ... topics outside of traditional IT general controls highly preferred. + CIA/CISA/CPA certification or candidate preferred. + Subject matter expertise in HIPAA, SOX,… more
- Cleveland Clinic (Stuart, FL)
- …caregiver include: + High School Diploma or GED + Basic Life Support (BLS) Certification through the American Heart Association (AHA) + One year of recent, full-time ... to resolve conflicts among staff and to work collaboratively with department directors , physicians and other members of the Healthcare team; ability to ensure… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …the preparation of investor presentations and information for the Board of Directors . + Researches and makes recommendations to resolve unusual or irregular ... Human Resources. **Licenses/Certifications** + Certified Public Accountant (CPA), preferred + FINRA Certification NOT REQUIRED ** **Travel Required** : Less than 5% more
- Humana (Tallahassee, FL)
- …Humana Pharmacy Policies and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare Part D and Medicare Advantage requirements and ... (disabled or >65 years of age) + Current and ongoing Board Certification in Internal Medicine, Family Medicine, Emergency Medicine or Physical Medicine and… more
- SCI Shared Resources, LLC (Ocala, FL)
- …to protect families in the future + Collaborates and teams with funeral directors , location managers, and other members of funeral home and or cemetery staff, ... and Abilitie** **s** + Must be able to pass the Company's internal presentation certification within thirty days of hire + Ability to work a number of evenings… more
- USAA (Tampa, FL)
- …Claims in a Program Management role. + PMP, Agile and Change Management Certification . + Claims experience. + Proficient in Box, Rally, Clarity and Jira. + ... and individual performance and at the discretion of the USAA Board of Directors . The above description reflects the details considered necessary to describe the… more
- USAA (Tampa, FL)
- …ability to articulate intricate data concepts clearly and effectively. + CAMS certification **Compensation range:** The salary range for this position is: $103,450 - ... and individual performance and at the discretion of the USAA Board of Directors . The above description reflects the details considered necessary to describe the… more
- MyFlorida (Tallahassee, FL)
- …Program (CRCCP) which is a highly responsible position working with both program directors to plan and guide cancer control efforts. The position reports directly to ... among CCCP and CRCCP health system partners. Maintains contract management certification . Collaborates on creation of program procurement materials. Ensures all… more