- Humana (Tallahassee, FL)
- …management, or similar activities **Preferred Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or clinical ... experience in a medical management review organization such as Medicare Advantage, managed Medicaid, or Commercial health insurance + Current and ongoing Board… more
- IQVIA (Tampa, FL)
- …Overview** Provides high quality, timely development and on-time input to solutions for service delivery, managed services , or implementation oriented client ... of presentations. + Develops a basic knowledge of software, services and consulting methodologies and the pharmaceutical/healthcare/life sciences industry. +… more
- Elevance Health (Tampa, FL)
- …responsible for providing case and/or medical management for members receiving transplant services . Continue to learn and take on increasing work assignments for the ... member health care across the care continuum and ensuring member access to services appropriate to their specific health needs. **How you will make an impact:**… more
- HCA Healthcare (Fort Lauderdale, FL)
- …Operations role today!** **Job Summary and Qualifications** In support of the Clinical Services Group Laboratory Service Line, the **Vice President of Lab ... development and oversight of new programs, coordination of assessment and consulting services for non- managed programs, joint venture oversight, and building… more
- Mass Markets (FL)
- …Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services , and Technology Services , to mid-market, ... in a courteous, timely, and professional manner + Knowledgeable regarding Internet Service Provider services . Do you know what it means to "Pair a Remote"? +… more
- Carnival Cruise Line (Miami, FL)
- …Manager oversees and manages OT engagements with Managed Security Services Providers (MSSPs) and offshore/nearshore security service resources. **Essential ... guidance to senior leadership and key stakeholders while collaborating with Managed Security Services Providers (MSSPs) to ensure seamless service delivery.… more
- Erickson Living (Naples, FL)
- …goals, and individualized clinical needs. + Ensures resident's individualized service plan is maintained/updated to reflect current needs in collaboration ... care associates, therapists, etc.). + Coordinates and monitors outside support services such as hospice, therapy, home health, etc., following established plans… more
- Compass Group, North America (Winter Garden, 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
- Molina Healthcare (FL)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... quality and cost-effective member care. Essential Job Duties * Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with… more
- Elevance Health (Tampa, FL)
- …telephonically. **How you will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual ... as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management policies and… more