- Highmark Health (Tallahassee, FL)
- …clinical setting. + Experiencein Lean, Six Sigma, TQI, TQC or other quality management certification. + Experiencein health plan provider network performance ... leadership, problem-solving, data analytics, team development, communication, implementation, and project management . The incumbent often plays a central role in the… more
- NextEra Energy (Palm Beach Gardens, FL)
- …edge computing, distributed intelligence, and artificial intelligence + Experience with AMI network deployment, management , and data integration + Knowledge of ... data analytics with responsibilities including technology strategy planning, resource management , procurement management , process documentation, compliance, and… more
- Lumen (Tallahassee, FL)
- …coordinating program milestones in partnership with cross-functional teams/squads (Product Management , Network , Development Engineering, Operations, AGT, Legal, ... supporting Lumen's $1B cost-out goal. Partnering closely with the M&S Product Management team (who determines the strategy), the Sr. Lead Product Development Manager… more
- OneRail (Orlando, FL)
- …logistics, offering a hybrid model that combines SaaS technology, a 12M+ driver network , and exception management services-all in one solution. + Credibility ... and sell with confidence, knowing you're backed by a scalable, asset-light network and advanced logistics technology proven to drive measurable outcomes for… more
- Northrop Grumman (Melbourne, FL)
- …one or more of the following specialized skills:* Target tracking* L16* IP network management * Solipsys Tactical Display Framework "TDF" Primary Level Salary ... integrations problems. The Software Engineer will interact with Program Management , external suppliers and/or government customers. Therefore, excellent verbal,… more
- Molina Healthcare (Tampa, FL)
- …preparation of documents for committee oversight of delegated functions. + Works with Network Management team to develop and maintain delegation agreements and ... 2 years' experience completing delegation oversight assessments/audits. + Quality management /regulatory experience with increasing responsibility. To all current Molina… more
- Molina Healthcare (Orlando, FL)
- …requirements of customers as it pertains to contracting (benefit and provider), network management , credentialing, prior authorizations, fee schedules, and other ... designated timelines * Presents audit findings and makes recommendations to management for improvements based on audit results. **Job Qualifications** **REQUIRED… more
- Elevance Health (Tampa, FL)
- …providers to be reviewed based on historical results of other reviews with providers, network management input and dollar volume of provider. + Schedules review ... itemized bills and provider contracts. + Conducts exit interview with provider management team by presenting preliminary review results. + Verifies dollar amount on… more
- Molina Healthcare (Miami, FL)
- …Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider Network ), for management and supervision of daily functional operations ... goals with assigned department managers, in conjunction with the Director, Account Management so that department goals support overall account level objectives. *… more
- Meta (Tallahassee, FL)
- …vision insurance across multiple providers 11. Experience with insurance formulary management and provider network strategies 12. Experience building ... Rx channels. **Required Skills:** Product Marketing Manager - Prescription Payer Management Responsibilities: 1. Lead the definition and execution of vision… more