- Elevance Health (FL)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... clinical reviews with attending physicians or other providers to discuss review determinations, and patients office visits with providers and external physicians.… more
- MyFlorida (West Palm Beach, FL)
- …Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Southeast Region Operations & Management Consultant Manager (MDT Manager ) About ... the position The Operations & Management Consultant Manager position is a highly responsible, independent managerial position involving advanced professional… more
- ChenMed (Margate, FL)
- …to patient panel as a PCP. + Directs accountability for clinical outcomes and day-to-day management of PCPs in one (1) center in the market, with regular presence in ... the center under direct management , and under the supervision of the MCMO. +...referrals and provides back-up for market referral and delegated utilization authorizations. + Leads physician meetings, training and education… more
- MyFlorida (Tallahassee, FL)
- …culture development. Qualifications: Minimum: + At least one year of contract management experience. + Florida Certified Contract Manager (FCCM) certification. ... applicants need not to reapply. Your Specific Responsibilities: Provide contract management for assigned contracts resulting out of the competitively or… more
- MyFlorida (West Palm Beach, FL)
- …with environmental standards. Work is performed under the supervision of an Environmental Manager SES. Conduct regular and routine review of records and ... (CHD) Information Security Policy, Protocols and Procedures. Has access to Health Management System (HMS) for Daily Activity Report (DAR) entry and approval. Enters… more
- MyFlorida (St. Augustine, FL)
- …The mission of the Florida Department of Military Affairs is to provide management oversight of the Florida National Guard and provide units and personnel ready ... Six (6) years of professional experience in Homeland Security, Emergency Management and Public Safety work emphasizing information technology and disaster… more
- SHI (Tallahassee, FL)
- …The SRA organizes findings, draws conclusions, and discusses them with their manager before escalating to business management . Strong business acumen, critical ... analytical skills are essential. Reporting to the Senior Risk Manager , the SRA plays a key role in implementing...Develop and present risk reports, KPIs, and KRIs for management and board review ; engage management… more
- Highmark Health (Tallahassee, FL)
- …stakeholder concerns. **Key Responsibilities:** + Lead and participate in Architecture Review Board processes, providing expert guidance on cloud-based solutions and ... solutions, networks, and infrastructure. Ensure optimal technology selection, resource utilization , and seamless integration. + Utilize modeling tools to develop… more
- Kimley-Horn (St. Petersburg, FL)
- …a Regional Facilities Coordinator to provide support to the regional business manager , firmwide real estate managers, and offices throughout the Florida region; ... **Responsibilities** + Coordination with firmwide real estate managers, regional business manager , regional IT manager , and local staff to facilitate… more
- MyFlorida (St. Petersburg, FL)
- …(https://compcalculator.myflorida.com/) Your Specific Responsibilities: Billing/Claims Duties: + Accurately review , scans, and prepare Health Insurance Claim Form ... timely. + Reviews HCFA 1500 from services providers for review by supervisor. + Prepares and electronically sends approved...Provide a copy of the report to the Program Manager . + Run the Client Services Report in HMS… more
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