- Elevance Health (FL)
- …in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , and/or ... state(s) required. **Preferred Experience, Skills, and Capabilities:** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed… more
- Elevance Health (FL)
- …+ Demonstrate and maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate on committees or in ... **Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually… more
- Ryder System (Tallahassee, FL)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** This ... may manage CI resources and reports to the CI Manager /Sr. CI Manager and is closely aligned...Identify and support Automation projects. Regularly interacts with account Management and/or customer(s). + Demonstrate a high level of… more
- ICW Group (Orlando, FL)
- …and trending of cost management issues related to bill review , case management and utilization review . + Works closely with Case Management ... with Cost Management Manager in tracking, resolution gathering,...Understanding of Workers' Compensation, Workers' Compensation Managed Care processes, Utilization Review , Telephonic Nurse Case Management… more
- Elevance Health (FL)
- …scaling, and maintaining platforms for: + Medical Cost Management (claims review , payment integrity, utilization management , risk adjustment). + Cost ... AI/ML, and automation to reduce medical spend and improve utilization management . Engineering Execution + Lead large-scale...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- V2X (Orlando, FL)
- …W-TRS Program Manager . The Sr. Lead Logistician will lead the management and control of program wide assets (Government and Contractor Property), including ... (eg, receiving, inspection, inventory scheduling, movement, hand receipts, storage management , cataloging, property utilization , sub-contractor hand receipts,… more
- Elevance Health (FL)
- …in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , and/or ... state(s) required. **Preferred Experience, Skills, and Capabilities:** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed… more
- Ryder System (Tallahassee, FL)
- …This position reports to the Lead Engineer, CI Manager or Sr. CI Manager and is closely aligned with Operations Management . Basic knowledge in these areas ... _Job Seekers can review the Job Applicant Privacy Policy by clicking...Identify and support Automation projects. Regularly interacts with operations management and/or customer(s). + Develop and demonstrate competency in… more
- ChenMed (Miami, FL)
- …join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management /Clinical Appropriateness review cases in our organization. ... Process and Quality improvement in our developing area of Delegated Utilization Management . **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides Delegated… more
- Fujifilm (Tallahassee, FL)
- …request volume, and the like. This role works collaboratively with their manager , Subject Matter Experts (SMEs), Marketing & Communications team members, business ... identifying activities, sponsorships, and equipment needed to ensure success. + Review and consideration of event participation levels and requirements, involving… more
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