- Elevance Health (Miami, FL)
- …the people we serve. The medical director supports product strategy/design through medical management that impact health care quality , cost, and outcomes, and ... serving as the Operational Medical Director for our care management models for our National Account clients. The medical...expertise in all aspects of utilization review and case management . Provides input on the clinical relevance to account… more
- ICW Group (Orlando, FL)
- …timely resolution of high-cost claims and influencing best practices in litigation management . The Major Claims Unit works collaboratively with and receives support ... counsel for litigation strategy and nurse case managers for medical management . **ESSENTIAL DUTIES AND RESPONSIBILITIES** **Strategic Claims Management ** +… more
- Highmark Health (Tallahassee, FL)
- …range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in ... active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case management … more
- MyFlorida (Felda, FL)
- …mission and expressed in the vision of the FWC are to make quality decisions by being dynamic, science-informed, efficient, ethical, collaborative and committed to ... and two offices. This position is in the Wildlife and Habitat Management Section. Minimum qualifications: Eight years professional experience in a closely-related… more
- NBC Universal (Orlando, FL)
- …Responsible for overseeing the governance function which includes change management , release management , incident/problem management ; stewardship ... center of excellence to support UDX locations worldwide, inclusive of incident management & coordination with sites & shared service providers. Responsible for… more
- CVS Health (Miami, FL)
- …members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention ... Services and strategies, policies and programs are comprised of network management , clinical coverage, and policies. **Position Summary/Mission** Community Care Case… more
- V2X (Orlando, FL)
- …assigned to the proposal team. Key Responsibilities: + + Responsible for the overall management of assigned efforts to include quality and compliance of the ... and development through proposal submittal as required. Responsible for the overall management of specific proposal volumes or total proposal efforts for assigned… more
- MyFlorida (Key West, FL)
- …as determined by the Federal Department of Labor. This position confers with Management to assist in identifying improvement processes and develop solutions for the ... by the JVSG program at the local and State level and confers with management to identify improvement processes. + Conducts outreach to employers and engages in… more
- MyFlorida (Clewiston, FL)
- …mission and expressed in the vision of the FWC are to make quality decisions by being dynamic, science-informed, efficient, ethical, collaborative and committed to ... Sections and two offices. This position works within the Wildlife Habitat Management of the Florida Fish and Wildlife Conservation Commission's Division of Habitat… more
- MyFlorida (Tallahassee, FL)
- …Florida Insurance Code; and by providing recommendations and regulatory solutions to management . * Utilize an extensive knowledge of business practices and market ... collected, provide technical assistance to staff, and make recommendations to management regarding opening investigations. + + Utilize an extensive knowledge of… more