- Cherry Bekaert (Fort Lauderdale, FL)
- …Resource Coordinator will effectively fill resource engagement requests overseeing the utilization of resources, ensuring alignment of resources with the strategic ... that develop within the area. You will continuously communicate with management regarding future needs versus availability, potential staffing issues, and other… more
- ChenMed (Winter Park, FL)
- …outpatient services. + Performs other duties as assigned and modified at manager 's discretion. ** KNOWLEDGE , SKILLS AND ABILITIES:** + Proven working experience ... in case management . + Excellent knowledge of case ...state. + A minimum of 2 years' onsite case management at ChenMed and/or utilization review or… more
- Highmark Health (Tallahassee, FL)
- …Therapeutics Committee review. + Assist in the development and implementation of utilization management programs including but not limited to: prior ... account, and member educational initiatives that promote the Organization's Formularies, utilization management programs, and disease management initiatives.… more
- NextEra Energy (Juno Beach, FL)
- …M365 suite, has experienced rapid utilization growth as the need for knowledge management has grown with the growth and increasing complexity of functions ... Knowledge Mangement, you will be leading Nextera's knowledge management practice for the company. ...function + 4+ Years of experience with direct customer management + SAFe Agile Software Engineering, Product Owner/ Manager… more
- Actalent (Sunrise, FL)
- …care, health plan, or insurance setting + Experience with Utilization Management and Care Coordination + Knowledge of Medicaid/Medicare Regulations + ... management . + Engage with Medical Directors and care management staff to direct appropriate utilization and...Chronic disease management + Plan of care management + Managed care experience + Medicaid knowledge… more
- University of Miami (Miami, FL)
- …and/or work experience may be considered. Knowledge , Skills and Attitudes: + Knowledge of business and management principles. + Ability to direct, manage, ... operations of assigned facilities. The Director will provide leadership to management staff and oversees all maintenance program initiatives. CORE JOB FUNCTIONS… more
- Molina Healthcare (Orlando, FL)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and...Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management +… more
- Molina Healthcare (Orlando, FL)
- …comply with CMS guidelines. These staff may also be involved in providing utilization management /prior authorization services as needed. * Supervises the unit's ... (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy… more
- Citigroup (Tampa, FL)
- …diverse background.** **The Resource Analyst will closely partner with the PMAE Resource Manager to drive forward the Talent Management Strategy and various ... Conduct semi-annual portfolio optimization forecast in a close collaboration with PMAE Management Team.** **Partner with the Resource Manager on executing the… more
- US Foods (Tampa, FL)
- …implementing sales training programs. Familiarity with methodologies for enhancing skills and knowledge of sales teams. + Strong project management skills with ... of sales support teams to maximize share and retention opportunities. + **Talent Management ** : Recruit, hire, and supervise the Area Sales Support team to maintain… more