- Elevance Health (Tampa, FL)
- …necessity review by a Medical Director. + Works closely with Medical Directors to review and make recommendations regarding medical necessity of requested tests, ... results of the initial clinical review and determination in the pre-certification system . + Conducts initial medical necessity review of out of network… more
- Northrop Grumman (Palm Beach Gardens, FL)
- …Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people's lives around the world today, and for generations ... not only part of history, they're making history. **Northrop Grumman Weapons Systems ** is currently seeking a **Business Management Analyst** **- Financial Level 4**… more
- Truist (Winter Park, FL)
- …engagement with other functional and support leaders. Partner with Regional Managing Directors (RMD), Division Directors (DD), and Specialty Wealth leadership as ... priorities 5. Strong knowledge of banking, fiduciary and wealth management systems , solutions, and offerings Preferred Qualifications: 1. Six years of previous… more
- Sanofi Group (Miami, FL)
- …cross-functional commercial team, including Key Account Managers, Regional Business Directors , and Thought Leader Liaisons, driving strong collaboration and ... ensure optimal account planning and execution of future indications and delivery systems + Demonstrate a profound understanding of the oncology landscape, the… more
- Humana (Tallahassee, FL)
- …conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare, Medicare Advantage and Medicaid requirements, and will ... of quality of care and financial goals. The Behavioral Health Medical Directors support Humana values, and Humana's Bold Goal mission, throughout all activities.… more
- Kelly Services (Fort Myers, FL)
- …position + PTS provides consistent on-site and off-site mentorship with Clinical Directors and Team Leaders. + School-Based Academy: We provide the support and ... needs + Design and implement interventions and student progress monitoring systems + Support effective individualized instruction + Help to create positive… more
- Humana (Tallahassee, FL)
- …materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will ... value based care, population health, or disease or care management. Medical Directors support Humana values, and Humana's Bold Goal mission, throughout all… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …and report review and challenge results / findings + Implements tools and systems to provide for process efficiency and robust documentation supporting all aspects ... prepare risk reports for the Executive Committee, Board of Directors , and regulatory agencies as required. + Read, analyze,...to top management, public groups, and the Board of Directors . + Apply mathematical concepts such as probability and… more
- Grifols Shared Services North America, Inc (Sarasota, FL)
- …requests and solutions for the therapeutic area(s). + Partners with the Medical Directors , National MSL Sr Director, and North America Medical Affairs Sr Director to ... such as the following: key accounts, managed care organizations, integrated systems , national medical associations, and medical schools. Acts as an "ambassador"… more
- Lockheed Martin (Orlando, FL)
- …Assistant to provide exceptional support to our three Production Operations Directors \. The successful candidate will be a strategic partner responsible for ... including ordering and maintaining inventory * Develop and implement effective filing systems , both physical and digital, to ensure easy access and retrieval of… more