- Molina Healthcare (Miami, FL)
- …in conjunction with the Director, Account Management so that department goals support overall account level objectives. * Responsible for the achievement and ... maintenance of excellent working relationship with client and all levels of internal personnel.. **Job Qualifications** **Required Education** Bachelor's Degree or equivalent experience **Required Experience** 3 years supervision/management experience in… more
- Molina Healthcare (FL)
- …Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates ... with various departments and stakeholders within Molina to plan, coordinate, and manage resources and execute performance improvement initiatives in alignment with RQS's strategic objectives. **Job Duties** * Collaborate with Health Plan Risk and Quality… more
- Optiv (Tampa, FL)
- …and fine-tuning AI models, including structured and unstructured sources, to support adaptive, agentic behavior in deployed solutions. + Continuously monitor AI ... solution performance, leveraging telemetry, user feedback, and real-world interactions to refine solution behaviors, tool use, and decision quality over time. + Stay current with advances in AI technologies such as foundation models, autonomous agents,… more
- Molina Healthcare (Miami, FL)
- …chart retrieval, file transmissions, and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, objectives, ... milestones and deliverables are met * Evaluate results from audit activities to address barriers, gaps, opportunities for improvement, and implement corrective action plans as necessary * Acts as an audit liaison with other departments, health plans, and… more
- Teleperformance USA (FL)
- **Category :** **Customer Service/ Support ** **About TP** **TP is a global, digital business services company. We deliver the most advanced, digitally powered ... business services to help the world's best brands streamline their business in meaningful and sustainable ways.** **With more than 500,000 inspired and** **passionate people speaking more than** **300 languages, our global scale and local** **presence allow us… more
- Teleperformance USA (FL)
- **Category :** **Customer Service/ Support ** **About TP** **TP is a global, digital business services company. We deliver the most advanced, digitally powered ... business services to help the world's best brands streamline their business in meaningful and sustainable ways.** **With more than 500,000 inspired and passionate people speaking more than 300 languages, our global scale and local presence allow us to be a… more
- Molina Healthcare (St. Petersburg, FL)
- …+ Develop and maintain policies, workflows, and escalation protocols to support efficient and compliant subrogation operations across Medicaid, Medicare, and ... Marketplace populations. + Collaborate with legal, claims, provider relations, finance, and compliance departments to ensure coordination and alignment on recovery efforts. + Monitor case outcomes and vendor performance to ensure recovery goals are met or… more
- Bowman (Tallahassee, FL)
- …leave, and paid holidays + Tuition reimbursement and professional development support + Discretionary bonuses and other performance-based incentives + Employee ... Assistance Program (EAP), wellness initiatives, and employee discounts Eligibility for certain benefits may vary based on position, location, and employment status. **Physical Demands and Working Environment** + Primarily indoor professional office environment… more
- Bilfinger Industrial Services Inc. (St. Petersburg, FL)
- …+ Possess effective negotiating skills + Resource Management; to include operations support staff, vendors, subcontractors, and time + Must demonstrate a strong ... ability to: + Adapt and be flexible to frequent changes in a fast-paced work environment o Demonstrate integrity consistent with Centennial's core values + Collaborate and work effectively in a team environment with people of various backgrounds and styles +… more
- Molina Healthcare (FL)
- …and maintain monthly and quarterly Key Performance Indicator (KPI) reports. + Support the management of the regulatory memo distribution process Ability to work ... independently and set priorities. + Manages compliance incidents management and related processes, including associated corrective action plans. + Provides technical expertise to Molina interdepartmental regulatory & legislative interpretation inquiries. +… more