- Highmark Health (Tallahassee, FL)
- …with contractual terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and ... inquiries regarding provider contract, claim/member issues or provider file/record/directory discrepancies. Consult with dental director /dental advisers… more
- ChenMed (Jacksonville, FL)
- …and runs referral team meeting- Create agenda for meeting. Gather info from Medical Director / Network Director /Referral Manager. + Prepares Referral Team ... send minutes to Operation Director , Market Medical Director , Market Network Director and.... + Establishes consistent and strong relationships with specialists' provider offices. + Collaborates with network leaders… more
- Citigroup (Tampa, FL)
- …as a bridge between the day-to-day supervision and the broader engagement level management ; Managing Director -level interaction on a regular basis. Serve as a ... The Program Management Advisory and Execution (PMAE) is the only...EL for enterprise or strategic resources when necessary. + Provide the benefit of your experience and network… more
- MyFlorida (Fort Walton Beach, FL)
- …insurance. Position may be asked to research client's insurance plan to find in network provider and then coordinate with insurance and referral provider ... Responsibilities: Position is under the supervision of the Ryan White Project Director and supports the Ryan White/HIV Primary Care Program by assisting staff… more
- MyFlorida (Marianna, FL)
- …collaboration with the Director of Communications under the direction of the Circuit Director . + Develops and maintains a wide network of contacts to help ... up in foster care. The Office's mission is to provide the most vulnerable children in Florida with an...programs involving volunteer and pro bono attorney recruiting and management . It provides a great venue for increased professional… more
- Cardinal Health (Tallahassee, FL)
- …division of Cardinal Health. This is a high-impact role reporting to the Director of Business Transformation and Change Management . This consultant will be ... successful implementation. . Build strong partnerships across Patient Access, Case Management , Specialty Hubs, Pharmacy Operations, IT, and executive leadership. .… more
- Northrop Grumman (Tampa, FL)
- …By joining in our shared mission, we'll support yours of expanding your personal network and developing skills, whether you are new to the field, or an industry ... programs. This role combines hands-on leadership with functional people management , contributing directly to mission-critical programs while developing and… more
- MyFlorida (Crestview, FL)
- …collaboration with the Director of Communications under the direction of the Circuit Director . + Develops and maintains a wide network of contacts to help ... Volunteer Recruiter will work under the general supervision of the Circuit Director . The Volunteer Recruiter position encompasses a broad range of marketing,… more
- Elevance Health (Miami, FL)
- **Medical Management Clinician Associate** **Locations:** Tampa, FL or Miami, FL + 5411 Sky Center Drive, Tampa, FL 33607 + 11430 NW 20TH Street, STE 300, Miami, FL ... (Saturday & Sunday) about once every 3 months. The **Medical Management Clinician Associate** is responsible for ensuring appropriate, consistent administration of… more
- ChenMed (Lauderhill, FL)
- …for PMR clients and ChenMed Markets. + Provide insights to the PMR team and Network Director and work with them to take action. + Facilitate a daily process ... and Market leaders. + Enable a member of PMR network or clinical team to reach out to authorization...Ability to understand, interpret and communicate all types of provider , regulatory contracts and utilization management data.… more