- CVS Health (Miami, FL)
- …insurance, healthcare services, or client/account management. + Familiarity with managed care processes, healthcare sales, or pharmacy benefits. + Demonstrated ... experience with client-facing roles, including public sector or union accounts. + Strong presentation skills and the ability to tailor messages to diverse audiences. + Exceptional interpersonal and relationship-building skills, both internally and externally.… more
- Humana (Tallahassee, FL)
- …Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record and ... documentation programs + Proficient and/or experience with medical terminology and/or ICD-10 codes + Prior member service or customer service telephone experience desired + Experience with SNF and/or Home Health + Prior experience with CGX, SRO and HCHB +… more
- SHI (Tallahassee, FL)
- …+ Develop service offerings that encompass implementation, migration, optimization, field, and managed services + Lead the development of SOWs, working closely with ... cross-functional teams to ensure alignment with client needs and business objectives + Create compelling presentations and supporting materials that articulate the value of SHIs service solutions + Stay current on industry trends, emerging technologies, and… more
- AdventHealth (Tampa, FL)
- …to management. Maintains knowledge of third-party payor reimbursement guidelines and managed care contracts. Responsible for receiving and addressing accounts within ... 72 hours of being routed to the claims edit work queue and coding review needed work queue. Qualifications **T** **he expertise and experiences you'll need to succeed:** + High school grad or equiv degree. Required + 3 years of work experience + RHIA -… more
- Molina Healthcare (FL)
- …**REQUIRED QUALIFICATIONS:** + At least 10 years' experience in Managed Care, specifically government programs and/or Medicare/Duals Health Plan Operations ... or equivalent combination of education and experience. + Strong leadership in a matrixed environment + Demonstrated adaptability and flexibility to a rapidly moving business environment. + Background analyzing technical performance and driving teams to… more
- Deloitte (Miami, FL)
- …our clients navigate the ever-changing threat landscape. Through powerful solutions and managed services that simplify complexity, we enable our clients to operate ... with resilience, grow with confidence, and proactively manage to secure success. Position Summary As a Google SecOps Consultant, you will play a critical hands-on role in delivering high-impact solutions across multiple high-visibility projects. Your SOC… more
- UKG (Ultimate Kronos Group) (Weston, FL)
- …start and end their days with our software, with billions of shifts managed annually through UKG solutions today. Yet it's our AI-powered product portfolio designed ... to support customers of all sizes, industries, and geographies that will propel us into an even brighter tomorrow! **Equal Opportunity Employer** UKG is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, disability,… more
- Insight Global (Tampa, FL)
- …-- Service Now preferred. - Net+ or A+ certification - ServiceNow knowledge - Managed Service (MSP) Background null We are a company committed to creating diverse ... and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment… more
- University of Miami (Miami, FL)
- …measures the effectiveness of assigned program(s). + Ensures that operations are managed within authorized budgets. + Collects, manages, and reports program data. + ... Develops and cultivates relationships and partnerships with various internal/external entities and organizations to further department functions. + Recruits, supervises, evaluates, and disciplines department staff to ensure optimum performance. + Establishes… more
- Chadwell Supply (Tampa, FL)
- …thinking is required. + Be able to work in a self- managed , self-motivated team-oriented environment. This includes cooperatively scheduling work and meetings ... and the ability to multitask with frequent interruptions. How you will make an Impact + Be able to process stock orders, quotes, and returns accurately. + Work quickly to provide substitutes for items placed on backorder if requested. + Be able to process… more