- Molina Healthcare (St. Petersburg, FL)
- …and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits & Overpayment ... and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to...as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, or… more
- Stantec (Orlando, FL)
- …that help them achieve their organization's objectives. Our award-winning team has managed thousands of projects across all sectors - airports, transit and rail, ... ports and marine, highway and bridge, including complex bridges, interchanges, and managed toll projects. Join our Major Projects Team of APD project management… more
- MUFG (Tampa, FL)
- …responsibilities. **Responsibilities:** + Responsible for maintaining the current customer managed Splunk and SIEM infrastructure + Responsible for log onboarding ... + Responsible for monitoring the health of the customer managed asset and vendor managed Splunk infrastructure...+ Responsible for working with key stakeholders of the services to ensure the expectations are meeting the requirements… more
- Lincoln Financial (Tallahassee, FL)
- …responsibility. + Manages and monitors working relationships with third-party vendors and managed service providers + Assists with developing more complex ... providers. + Support strategic asset realignment across General Account portfolios on service provider managed accounting systems and across multiple custodians.… more
- Humana (Tallahassee, FL)
- …management, or similar activities **Preferred Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or clinical ... in a medical management review organization such as Medicare Advantage, managed Medicaid, or Commercial health insurance + Experience with national guidelines,… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... cost-effective based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Oversees an integrated Care Access and Monitoring team… more
- Molina Healthcare (St. Petersburg, FL)
- …system knowledge of QNXT and other state specific applications concerning Managed Care Enrollment. + Responsible for ensuring timely reconciliation of eligibility ... + Partners with vendor management team and the external vendor to ensure service level agreements and regulatory requirements are met + Considers (thinking bigger… more
- Compass Group, North America (Gainesville, FL)
- …include inventory, ordering and receiving + Knowledge of P&L accountability and contract- managed service experience is desirable + Proficient in menu ... + Experience with exposition cooking needed + Knowledge of P&L accountability and contract- managed service experience is desirable + ServSafe certified is a plus… more
- Bank of America (Vero Beach, FL)
- …goals and recommended products such as stocks, bonds, mutual funds, banking, and managed money solutions. This role is a bridge between banking and brokerage; ... products, including stocks, bonds, mutual funds, annuities, and banking and money managed solutions. + Recommends banking and investments strategies that align with… more
- Deloitte (Lake Mary, FL)
- Deloitte's Enterprise Operations as a Service provides multi-year managed service contracts to support enterprise technology investments and key business ... effective forum for sharing SAP expertise The team Our managed services focuses on on-going operations and...maintenance + Adoption of leading automation technologies to improve service delivery and efficiency + Better cost efficiency and… more