• Oncology Prior Authorization Case…

    University of Miami (Miami, FL)
    …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the… more
    University of Miami (09/25/25)
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  • Remote Care Manager

    TEKsystems (Tampa, FL)
    …correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/or appeal status. Care managers may also ... Care Manager Remote Pay Rate: $21/hr Schedule: M-F, shifts...reimbursement support specifically to provider offices Skills insurance verification, prior authorization , medical insurance, Call center Top… more
    TEKsystems (10/11/25)
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  • Pharmacy Processing Manager

    AdventHealth (Apopka, FL)
    …regarding Rx Plus Pharmacy's state licensed data entry, claims adjudication, prior authorization , pharmacy specialist, and technician quality assurance staff ... various media, technician quality assurance, claims adjudication and copay assistance, prior authorization , and prescription clarification processes to ensure… more
    AdventHealth (10/10/25)
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  • Information System Security Manager

    Kratos Defense & Security Solutions, Inc. (Orlando, FL)
    …program for all users. + Verify user access requirements, including clearance, authorization , and need-to-know, prior to granting system access. + Assume ... Risk Assessment Reports, Plans of Actions and Milestones, Assessment & Authorization packages, and Security Control Traceability Matrices. The ISSM will maintain… more
    Kratos Defense & Security Solutions, Inc. (09/27/25)
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  • Site Manager / Joint Force Liaison Officer

    SMX (Tallahassee, FL)
    Site Manager / Joint Force Liaison Officerat SMX(View all jobs) (https://www.smxtech.com/careers/) United States SMX Technologies is seeking a Site Manager who ... supporting Pacific Air Forces (PACAF) Second Island Chain Support program. The Site Manager / Joint Force Liaison Officer works directly for the Program Manager… more
    SMX (10/08/25)
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  • Deputy Site Manager

    SMX (Tallahassee, FL)
    …jobs) (https://www.smxtech.com/careers/) United States SMX Technologies is seeking a Deputy Site Manager who will also serve as a Logistician Liaison Officer to ... position is located onsite at Andersen AFB, Guam, and operates as part of the Program Manager 's Office. The Deputy Site Manager will assist the Site Manager … more
    SMX (10/08/25)
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  • Rehab Manager - Home Health

    BAYADA Home Health Care (Jacksonville, FL)
    …Therapist (OT) or Speech Language Pathologist (SLP)** to fill the position of **Rehab Manager ** in our Jacksonville office. As Rehab Manager you will lead the ... Physical Therapist, Occupational Therapist or Speech Language Pathologist should have prior experience in Medicare Home Health. This position offers the successful… more
    BAYADA Home Health Care (10/06/25)
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  • Field Reimbursement Manager

    Amgen (Orlando, FL)
    …order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements and forms + Review ... coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization , appeal, and/or claims resolution + Educate… more
    Amgen (10/02/25)
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  • Pricing Manager

    SMX (Tallahassee, FL)
    Pricing Manager (4447)at SMX(View all jobs) (https://www.smxtech.com/careers/) United States SMX is looking for a **Pricing Manager ** to add to its growing ... proposals/cost volumes for both commercial and Federal Government proposals. The Pricing Manager will support all business groups in support of capture efforts, to… more
    SMX (10/07/25)
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  • Utilization Management (UM) Program Manager…

    Community Based Care of Brevard, Inc. (Orlando, FL)
    …The UM Program Manager provides oversight and management of service authorization data validation, reporting and trend analysis related to purchased services in ... line-by-line entries, and submits to finance for payment. The UM Program Manager reconciles ARGOS Dependency Cases to FSFN for accuracy and deduplication. This… more
    Community Based Care of Brevard, Inc. (10/04/25)
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