- Ryder System (Tallahassee, FL)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... customers, insurance carriers, and third party claimants. Participates in large claim review calls and updates field operations personnel on claim status. Possess a… more
- Molina Healthcare (Jacksonville, FL)
- …team and key stakeholder meetings (PowerPoint) * Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ... stakeholders requiring decision support. * Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on… more
- Molina Healthcare (Jacksonville, FL)
- …team and key stakeholder meetings (PowerPoint) + Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ... stakeholders requiring decision support. + Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on… more
- Centene Corporation (Tallahassee, FL)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... of physician education with respect to clinical issues and policies. + Identifies utilization review studies and evaluates adverse trends in utilization … more
- Molina Healthcare (Orlando, FL)
- …a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high speed required Work Schedule ... on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member… more
- RxBenefits (Jacksonville, FL)
- …channel management, B/G classifications, specialty designations, rebate eligibility, utilization trend, Utilization Management (UM) implications, Manufacturer ... structure, new prospect member size, marketing agreements, broker commissions, and drug utilization . + Be the SME on dozens of medical vendor/PBM contracts including… more
- Humana (Tallahassee, FL)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Olsson (Tallahassee, FL)
- BMS Engineering Leader - Data Center Arizona - Remote ; Arkansas - Remote ; Florida - Remote ; Georgia - Remote ; Idaho - Remote ; Illinois - Remote ; ... Remote ; Iowa - Remote ; Kansas - Remote ; Kentucky - Remote ; Louisiana - ...Monitor and enhance the group's project performance and employee utilization and workload, identifying potential areas of improvement and… more
- Kemper (Jacksonville, FL)
- Location(s) Remote -AL, Remote -CT, Remote -FL, Remote -GA, Remote -IL, Remote -IN, Remote -MI, Remote -NC, Remote -OH, Remote -PA, ... complex technical problems and issues with assigned applications and work processes. + Review and recommend test plans for impacted areas and end to end test… more
- Battelle Memorial Institute (Eglin AFB, FL)
- …strength and conditioning equipment + Participate in periodic meetings to review and evaluate physical training programs and identify opportunities for improvement. ... + Perform administrative duties such as maintaining records of utilization , workload, conducting or participating in education programs, and...model allows you to work 60% in-office and 40% remote , with Monday and Tuesday as common in-office days,… more
Recent Jobs
-
Senior Project Manager - Geotechnical Engineering
- Langan Engineering, Environmental, Surveying and Landscape Architecture, DPC (Irvine, CA)