- Elevance Health (Tampa, FL)
- …long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance ... Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider… more
- Evolent (Tallahassee, FL)
- …: The Coordinator, Intake Utilization Management reports directly to the Manager , Utilization Management. In support of our daily operations this individual ... requesting or submitting prior authorization requests and/or relevant health care experience in claims or appeal & grievances is required. + Ability to read, write… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …as well as knowledge of the interconnection between Utilization Management, claims , and regulatory requirements to respond to complex and/or escalated inquiries. ... from care management and refers to the appropriate care manager . + Utilizes critical thinking skills to identify process...of related experience in an acute care or health insurance environment. + Minimum 2 years of experience with… more
- AECOM (Jacksonville, FL)
- …+ Assist in the preparation of contract documents, change orders, and claims analysis + Contribute to continuous improvement initiatives within the department and ... Advanced MOT + CTQP Final Estimates Level II + CTQP Quality Control Manager **Additional Information** + Relocation assistance is not available for this position +… more
- National Express (Jacksonville, FL)
- …Shares concerns about suspicious or inappropriate behavior with their supervisor or manager . + Other duties as assigned Company name is: Durham School Services ... events to ensure excellence in customer service. + Ability to Investigate claims and incidents of questionable conduct, accidents etc. + Computer literacy skills… more