- HCA Healthcare (Bradenton, FL)
- …medical technologists, supervisors, department head, and medical director in the review and interpretation of clinical laboratory data Complete all required ... procedures, timed studies, and routine tests within established turnaround time targets Review pending logs (OSR) and result logs; resolve any outstanding workload… more
- Datavant (Tallahassee, FL)
- …Track and report on coding productivity and quality metrics for leadership review . + Maintain coding policies, procedures, and workflow documentation. + Implement ... process improvements to enhance accuracy, efficiency, and regulatory compliance. + Ensure coding is completed within established turnaround times to support timely… more
- NextEra Energy (Juno Beach, FL)
- …HR processes for maximum impact. **Key Responsibilities** + Data-Driven Analysis: Review process metrics, performance reports, and business data to identify ... including cost savings and efficiency projections + Benchmarking & Best Practices: Review industry practices and internal performance data to identify gaps and… more
- Evolent (Tallahassee, FL)
- …calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale for standard ... and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the...guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with… more
- Healthfirst (FL)
- …such as the file notes and case summary + Manage all duties within regulatory timeframes + Communicate effectively to hand-off and pick-up work from colleagues + ... for each Specialist against expectations + Prepare cases for Medical Director Review ensuring that all pertinent information (ie case summary, contract information,… more
- ChenMed (Opa Locka, FL)
- …He/She adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures. ... engagement with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization; provides family education… more
- Citigroup (Tampa, FL)
- …background. The work will vary across engagements but generally will range from regulatory compliance to risk management, to the integration of technology into the ... issue identification, escalation of risks, and actionable remediation solutions; proactively review plan content and changes to aid in identification, impact… more
- Walgreens (Daytona Beach, FL)
- …adherence to policy and procedure, compliance with internal and external regulatory bodies, pharmacy sales, expense control and inventory management, and image ... Pharmacy. + Overall score of Exceeds Expectations for the most recent performance review period and an overall score of Achieving Expectations for the earliest … more
- Evolent (Tallahassee, FL)
- …within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …to make moderately complex decisions. **Essential Duties and Responsibilities** * Perform review of annuity applications and requirements. * Perform timely entry of ... accordance with internal and external regulations. * Contact clients to review portfolios, complete the Investment Policy Questionnaire, and provide information on… more