- Elevance Health (Tampa, FL)
- …Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... to Medical Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical program and/or independently… more
- Fresenius Medical Center (Winter Haven, FL)
- …accounting department. + Acts as the Facility Manager in the absence of the manager or at the direction of management . + Ensure nurses' progress notes are ... **PURPOSE AND SCOPE:** Works with the Facility Manager , facility staff and physician to coordinate the facility operations and patient procedures to ensure provision… more
- MyFlorida (Tallahassee, FL)
- …and state laws and rules about the oversight of the programs and contract management . As part of the contract manager 's responsibilities, incumbent is required ... POSITION OVERVIEW AND RESPONSIBILITIES: This position is responsible for contract management activities within the SHINE (Serving Health Insurance Needs of Elders)… more
- TECO Energy (Tampa, FL)
- …to clients + Knowledge of GIS systems and workflows + Knowledge of work management systems and workflows + Ability to assess processes and provide GIS, ADMS, or ... ofurrounding control room functions and workflows + Proficient in risk management related to data privacy, specifically implementing data protection measures to… more
- Elevance Health (Miami, FL)
- **Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
- Highmark Health (Tallahassee, FL)
- …terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and procedures while ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
- Molina Healthcare (Tampa, FL)
- …reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint ... Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified… more
- Omni Hotels (Amelia Island, FL)
- …while utilizing proven agronomic practices and following approved operating and management guidelines. Responsibilities + Create implement and execute a global ... equipment and maintenance facility + Oversee the procurement, maintenance, operation and utilization of all maintenance equipment and supplies. + Oversee the process… more
- Elevance Health (Miami, FL)
- …experience, which would provide an equivalent background. **Preferred Qualifications:** + Utilization management experience preferred. For candidates working in ... locations may be considered. CarelonRx delivers market-leading pharmacy benefit management and medication dispensing services to drive affordability and improve… more
- Ryder System (Tallahassee, FL)
- …or if the Claim Manager is not available. Participates with Claim Manager in the selection and management of outside vendors for investigation, cost ... vendors retained for investigations, cost containment, expert witnesses, and litigation management to ensure claims are being handled properly according to the… more