- Truist (Orlando, FL)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** * This is a in-office position* Provides ... and client acquisition activities. 2. Support administrative fitness efforts through review of relevant reports and ensuring timely updates to book management… more
- Truist (Tampa, FL)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** * This position is located at Truist ... client acquisition activities. 2. Support administrative fitness efforts through review of relevant reports and ensuring timely updates to...personal service to Wealth clients 15. Serve as a peer -mentor for WSS I, WSS II 16. Participate in… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The...and guidelines + Facilitates communication of denials and or Peer to Peer requests between payers and… more
- Highmark Health (Tallahassee, FL)
- …control procedures. The Analyst also administers inter-rater reliability tests and communicates review results to business leads both verbally and in writing. This ... and other areas of risk.Prepare draft reports and other management reporting deliverables. Review all work prepared by less experienced team members to ensure audit… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The UHealth ... study reports. Prepares results for progress reports, presentations, and peer -reviewed publications. Maintains and documents studies' databases. Consults with study… more
- Molina Healthcare (Miami, FL)
- …in the team and across the enterprise.* Leads architectural committees and peer group discussions in adherence to industry standards. + Leads solution architecture ... reviews and approvals as part of the Architecture Review Board (ARB) function for Data Lakehouse platforms across the enterprise.* Responsible to support the… more
- USAA (Tampa, FL)
- …, you will support USAA's financial strength through measurement, analysis, and review of quality assurance and compliance related business processes. You will be ... also supports USAA's financial strength through measurement, analysis, and review of quality assurance and compliance related business processes. Responsible… more
- Elevance Health (Miami, FL)
- …**Medical Director-Internal Medicine or Family Medicine Appeals** is responsible for the review of appeals for physical health medical services, to ensure the ... clinical operational aspects of a program. + May conduct peer -to- peer clinical reviews with attending physicians or...reviews with attending physicians or other providers to discuss review determinations + Serve as a resource and consultant… more
- Evolent (Tallahassee, FL)
- …reviews to be completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers, ... available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review… more
- Evolent (Tallahassee, FL)
- …reviews to be completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers, ... Provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more