- CenterWell (Daytona Beach, FL)
- …opportunities for education/coaching + Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D per Member per ... Collaborative / Supervisory Agreements per state protocols + Assisting with panel management + Providing direct education to clinicians around clinical protocols /… more
- Elevance Health (Tampa, FL)
- …claims-based root-cause investigations leveraging intimate claims system and business process knowledge to evaluate claims system configuration and logic compared to ... to achieve the future state capabilities with Business Relationship Management (BRM) skills, and confirm solutions work as intended...Pega UI. + Have sound claims process and data knowledge including: Claims Train data, CAST Train data; CAST… more
- GovCIO (Tallahassee, FL)
- …enterprise and manage new SW/HW integrations when required while also providing utilization reports using existing tools to identify problems and corrective actions ... environment with complex networking solutions with senior level fundamental knowledge in networking principles, + Transmission Control Protocol/Internet Protocol… more
- BJs Wholesale Club (Parkland, FL)
- …Know their business/business acumen. Exhibit strategic thinking and sound decision-making thorough knowledge and utilization of business data. + Lead through ... will have open availability as well as previous tire installation/alignment/office management experience. Responsible for managing tire bay operations at the club… more
- CenterWell (Tallahassee, FL)
- …such as average handle time (AHT), volume, shrinkage, occupancy, and utilization . This individual provides executive-level reporting and scenario modeling to support ... and automation. Additionally, the Associate Director collaborates with Real-Time Management , Scheduling, and Forecasting teams to ensure consistent and coordinated… more
- GovCIO (Tallahassee, FL)
- …enterprise and manage new SW/HW integrations when required while also providing utilization reports using existing tools to identify problems and corrective actions ... automating assigned tasks. + 3+ yrs experience in patch management with understanding how toapply security updates to systems...Virtual video interview conducted via video with the hiring manager and/or team + Camera must be on +… more
- HCA Healthcare (Margate, FL)
- …experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida ... the well-being of others, this could be your next opportunity. We want your knowledge and expertise! **Job Summary and Qualifications** The Case Manager (CM)… more
- HCA Healthcare (Margate, FL)
- …+ Experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred + This ... the well-being of others, this could be your next opportunity. We want your knowledge and expertise! **Job Summary and Qualifications** The Case Manager (CM)… more
- HCA Healthcare (Trinity, FL)
- …Responsibilities: .You will facilitate and direct organizational wide risk management program to ensure compliance with statutory mandates, regulatory requirements ... licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager , VP must have current Florida license in Healthcare Risk Management … more
- HCA Healthcare (Miami, FL)
- …Experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida ... outcomes for your patients as a (an) Case Mgr RN PRN. We want your knowledge and expertise! **Job Summary and Qualifications** The Case Manager (CM) ensures… more
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