- Humana (Miramar, FL)
- …issues with referring entities or providers that delay service delivery to manager . Provides excellent internal and external customer service by ensuring work meets ... quality standard. **Use your skills to make an impact**...required. + Knowledge of medical billing is preferred. + Must be passionate about contributing to an organization focused… more
- Oracle (Tallahassee, FL)
- …deliverables are sent on time and are of rigorous scientific quality Support business development activities to identify opportunities, set appropriate pricing, ... or psychology (specifically, social psychology, behavioral science, experimental psychology) + Must have: + Experience in survey design and quantitative methods such… more
- Elevance Health (Miami, FL)
- …HMO, POS, PPO, EPO, CDHP, and indemnity) related to clinical and non clinical services, quality of service, and quality of care issues to include executive and ... review components of the URAC and NCQA accreditations are must pass items to achieve the accreditation. + Analyzes...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Humana (Tallahassee, FL)
- …Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and ... EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat...self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a… more
- CenterWell (Tallahassee, FL)
- …to ensure smooth integration of newly acquired acquisitions. **Productivity and Quality Management:** + Establish Key Performance Indicators (KPIs) for coding ... team and leaders to address post-visit review coding KPIs ( quality , Turn-Around-TAT, appropriate clinician queries). + Participate in payor meetings/discussions… more
- Carollo Engineers (Sarasota, FL)
- …size and complexity, with full responsibility over design decisions and quality standards. Specific work will include preliminary design, detailed design, and ... of other organizations and companies + Serve as project manager for some mid- to large-sized projects + Provide...is required. + Registration as a Professional Engineer + Must have demonstrated experience with managing and designing medium-… more
- Highmark Health (Tallahassee, FL)
- …:** **JOB SUMMARY** We are seeking an experienced Sr Technical Product Owner/ Manager to lead the technical delivery and stewardship of key data platforms. ... deep technical understanding of data access, enrichment, catalog, and integration. You must be well versed in emerging best practices and data architecture patterns… more
- Monro Muffler/Brake (Tampa, FL)
- …we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry. Do you have what it takes to shape ... centers, trusted by consumers as the best place in our neighborhoods for quality automotive maintenance and repairs. We're looking for motivated individuals at every… more
- AECOM (Jacksonville, FL)
- …technical and operational direction from the assigned Superintendent or Project Manager . + Assists with the planning and coordination of sub-contractor activities ... subcontractor personnel to ensure adherence with project plans and promotes quality control of all installations. + Enforces policies, procedures and related… more
- MyFlorida (Tallahassee, FL)
- …all health care boards and councils. PSU takes administrative action against healthcare practitioners for violations of the licensee's practice act. Your Specific ... Responsibilities: This position is directly supervised by the General and Operations Manager I of the Business Center within the Prosecution Services Unit of the… more