- Marriott (Kissimmee, FL)
- …tables. Complete period-end closing procedures and reports as specified. Prepare, review , reconcile, and issue bills, invoices, and account statements according to ... Speak with others using clear and professional language; prepare and review written documents accurately and completely; answer telephones using appropriate… more
- Molina Healthcare (Orlando, FL)
- …process, including HEDIS, state-based measure reporting and medical record review . + Manages annual HEDIS data collection activities. Responsibilities include ... reports including performance measurement rates. + Manages medical record review and performance measurement reporting projects for assigned area(s) ensuring… more
- CVS Health (Tallahassee, FL)
- …to evaluate outpatient and inpatient services requiring precertification and concurrent review . + Conduct clinical reviews via phone and electronic documentation, ... Nursing. + At least 1 year of Utilization Management experience in concurrent review or prior authorization. + Strong decision-making skills and clinical judgment in… more
- HCA Healthcare (Sarasota, FL)
- …on their five year trend performance. We have been named by Becker's Hospital Review among the top 100 hospitals with great orthopedic programs. We hope you'll ... to apply for our Special Procedures Tech Mid-Shift opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews.… more
- GAP Solutions Inc (Tallahassee, FL)
- …quality control reviews of HR processes with 97% accuracy rate. + Review retirement processing activities including FERS/CSRS retirement packages and calculations. + ... Verify service computation dates and retirement code audits. + Review benefits administration activities for compliance with federal regulations. + Validate… more
- Actalent (Miami, FL)
- …information when needed, and forwarding cases to pharmacists for final review and determination. Responsibilities + Process and manage denied prior authorization ... members, primarily elderly individuals, regarding denied medication requests. + Review submitted documentation and gather additional information to support the… more
- The Walt Disney Company (Celebration, FL)
- …and verify compliance with Class, statutory requirements & National Standards. + Review and update maintenance schedules based on Ship Survey findings and results. ... + Define and maintain review of operational requirements for riding teams under direction of the Safety Managers. + Assist in organizing and scheduling both the… more
- HCA Healthcare (Fort Pierce, FL)
- …implement and supervise the activities of the Safety Management Program by: Periodic review and update of all safety management policies and procedures to include, ... Maintain knowledge of new developments in safety and hazard control through review of current literature, attendance at pertinent conferences and seminars and… more
- American Express (Sunrise, FL)
- …collaborating with other Operational Risk Management (ORM) teams as necessary + Review quality assurance of documentation and maintenance of records of issues/OREs ... and compliance colleagues, to facilitate effective issue management and resolution + Review and advise on detailed reports on issue status, trends, and outcomes… more
- L3Harris (Palm Bay, FL)
- …+ Moderate knowledge of both the FAR and CAS to implement analysis and review of incurred costs thru submission and audit of incurred cost proposals. + General ... compliance understanding to review and advise on CAS410 and CAS403 disclosure statement submission, audit and defense. + Moderate understanding of establishing… more