• Utilization Review Nurse

    Actalent (Sunrise, FL)
    …direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing ... the Medical Director, physicians, and office staff, resolving prior authorization issues. + Communicate denial determinations to providers when necessary. +… more
    Actalent (08/21/25)
    - Related Jobs
  • Information Systems Security Manager ISSM…

    Huntington Ingalls Industries (Hurlburt Field, FL)
    …Evaluate security assessment documentation and provide written recommendations for security authorization . + Develop recommendation for authorization and submit ... of operation, and mission needs that could affect system authorization . + Provide purposeful security architecting, design, development, and configuration… more
    Huntington Ingalls Industries (08/22/25)
    - Related Jobs
  • Utilization Management Nurse

    Actalent (Sunrise, FL)
    …safety, and appropriate length of stay. Responsibilities + Review prior authorization requests for medical necessity and appropriateness using standardized ... the Medical Director, physicians, and office staff to resolve authorization issues. + Communicate denial determinations to providers when indicated. + Perform… more
    Actalent (08/21/25)
    - Related Jobs
  • Patient Navigator (H)

    University of Miami (Medley, FL)
    …signs, and anatomical systems to identify and differentiate type and urgency of medical need. + Maintain knowledge of insurance referral requirements to ensure ... programs. + Notify appropriate parties of the appointment time, referral criteria, insurance verification, and prior authorization requirements. . + Contact … more
    University of Miami (08/13/25)
    - Related Jobs
  • Bilingual Patient Access Specialist…

    AssistRx (Orlando, FL)
    …disability insurance + Teledoc services for those enrolled in medical insurance + Supportive, progressive, fast-paced environment + Competitive pay ... Patient Access Specialist: This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and… more
    AssistRx (08/03/25)
    - Related Jobs
  • Supervisor, Contact Center (H)

    University of Miami (Medley, FL)
    …the job performance for staff responsible for verification of benefits, obtaining authorization and registration of insurance information in UChart. + ... daily expected call service level, volumes of visits pending verification and authorization within 14 days of scheduled appointment, including same day appointments… more
    University of Miami (08/12/25)
    - Related Jobs
  • Quality Engineering Intern - Summer

    Medtronic (Jacksonville, FL)
    …visa. The Medtronic Summer Internship Program does not provide work authorization sponsorship for summer intern positions. Individuals with temporary visas such ... J or TN, or who need sponsorship for work authorization now or in the future, are not eligible...solver **About Medtronic:** Together, as one of the largest Medical Device companies in the country, we can change… more
    Medtronic (08/01/25)
    - Related Jobs
  • Entry-level TriZetto Technical Product Consultant

    Cognizant (Tampa, FL)
    …following benefits for this position, subject to applicable eligibility requirements: + Medical /Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off + ... solutions to the healthcare industry from streamlining payer processes to automating insurance operations. The practice has its own ecosystem of businesses including… more
    Cognizant (06/24/25)
    - Related Jobs
  • Senior Clerk

    MyFlorida (Arcadia, FL)
    …may require work in other program areas such as dental, primary care, medical records, and vital statistics. The employee must maintain current work knowledge and ... mandated guidelines to assign appropriate sliding fee scale for clients with no insurance . + Inputs and updates pertinent information including insurance status,… more
    MyFlorida (08/23/25)
    - Related Jobs
  • Surgery Scheduler 2

    University of Miami (Miami, FL)
    …timely completion and follow-up. + Auth/Cert - Accurately documents all insurance -related communications in the Authorization /Certification system to keep the ... of case progress. + Insurance Verification & Authorizations - Verifies insurance coverage, submits authorization requests, and obtains approvals within the… more
    University of Miami (06/26/25)
    - Related Jobs