- Truist (Winter Park, FL)
- …(Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Provides in-office client and advisor support ... and client acquisition activities. 2. Support administrative fitness efforts through review of relevant reports and ensuring timely updates to book management… more
- Truist (Orlando, FL)
- …(Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Provides in-office client and advisor support ... and client acquisition activities. + Support administrative fitness efforts through review of relevant reports and ensuring timely updates to book management… more
- Elevance Health (Miami, FL)
- …to members and providers. + Provide guidance for clinical operational aspects of a program . + May conduct peer -to- peer clinical reviews with attending ... required by law. The **Medical Director-Dermatology Appeals** is responsible for the review of appeals for physical health medical services, to ensure the… more
- Wounded Warrior Project (Jacksonville, FL)
- …that reflect program theory and strategic goals. + Collaborate closely with peer leaders in warrior research and program data governance to ensure alignment ... Impact Evaluation Manager leads the strategy and execution of program evaluation within the Mission Data & Insights team....in research priorities, data quality practices, and shared methodologies across the Mission Data… more
- AssistRx (Orlando, FL)
- …awards that our employees receive throughout the year! + #TransformingLives Honor: This quarterly award program is a peer to peer honor that recognizes and ... of care or health care providers that meet the program business rules for determination of approval, denial, or...final determination as well as claim appeal handling. + Quality control of commercial copay programs. + Collaborate with… more
- MyFlorida (Yulee, FL)
- …meetings. Participate as a member of the PMC team for DOH-Nassau. Data Management: Review School Health Program data that have required standards to identify ... the Nassau County School District staff. Setting and Reviewing Work Standards: Review assigned program activities, problems, and functions with the Supervisor… more
- MyFlorida (Tampa, FL)
- …for supervising the planning, implementing and evaluating of the WIC Breastfeeding Peer Counselor Program and components of Nutrition Services such as ... overseeing WIC Outreach and Breastfeeding services and the Breastfeeding Peer Counselor Program throughout Hillsborough County. This...of our Nutrition Program and WIC Nutrition Program Plan. Review and approve menus to… more
- HCA Healthcare (Loxahatchee, FL)
- …utilization, and quality profiling. Serves as a member of hospital's peer review committees as requested. Business Development and Payer Relations: + ... environment of quality and cost improvement and develops systems to review utilization of resources and objectively measure outcomes of care in the inpatient… more
- Evolent (Tallahassee, FL)
- … Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with ... + Provides clinical rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering… more
- Evolent (Tallahassee, FL)
- …as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial ... reviews to be completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers,… more