- Elevance Health (Miami, FL)
- …**Medical Director-Internal Medicine or Family Medicine Appeals** is responsible for the review of appeals for physical health medical services, to ensure the ... reviews with attending physicians or other providers to discuss review determinations + Serve as a resource and consultant...or territory of the United States when conducting utilization review or an appeals consideration and cannot be located… more
- Ascension Health (Jacksonville, FL)
- …insurance claims for submission to third party payers and/or responsible parties. + Review claims for accuracy, including proper diagnosis and procedure codes. + ... Review claim rejections and communicates with payers to resolve...with payers to resolve billing issues. + Prepare and review routine billing reports. + Recommend process improvements based… more
- Travel + Leisure Co. (Orlando, FL)
- …legal title passes to Wyndham owners and/or to the appropriate entity. Review accounts/inventory for eligibility and/or prepares deeds and other documents to convey ... account status or title related matters. **How You'll Shine:** + Review accounts/inventory to determine eligibility for preparation of conveyance documents and/or… more
- City of Coral Gables, FL (Coral Gables, FL)
- …calculate Experience Modification Rates (EMR), and forecast reserves for budgeting. Review payroll report information to ensure accuracy of worker's compensation ... of workers' compensation. Knowledge of medical terminology in the review of diagnostic and treatment records A comparable amount...Do you have knowledge of medical terminology in the review of diagnostic and treatment records? + Yes +… more
- Sargent & Lundy (Palm Beach Gardens, FL)
- …loading and develop estimates for task completion and budget development. + Review calculations related to heat balances, power train pumps, heat exchangers, ... sink, and plant hazards to support client recommendations and reviews. + Review task reports and equipment evaluations that present technical information in a… more
- Deloitte (Miami, FL)
- …identifying and quantifying transaction risks and opportunities. This includes: + Review of financial statements, trial balance details, government filings, employee ... employee benefits side-by-side and migration cost analysis, executive compensation review including retention, severance, and transaction bonuses, turnover and open… more
- Humana (Tallahassee, FL)
- …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 ... Managed Medicaid. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health… more
- Lockheed Martin (Titusville, FL)
- …them in a professional concise manner and achieve real time solutions\. * Review and approval of Manufacturing Work Instructions and PO Closures\. * Responsible for ... for AS9100 and other internal LM audits are complete\. * Continuously review process methods, procedures, process performance trends, etc\., develop, and deploy… more
- Citigroup (Tampa, FL)
- …looking for a highly energized, dynamic professional to join the Activity Review team. The successful candidate will conduct targeted transaction reviews of specific ... client activity. The role includes the review of transaction data, as well as due diligence utilizing internal and external sources. **Key Responsibilities:** +… more
- Southland Holdings (Lake Worth, FL)
- …activities of field crew employees. Work with field employees to increase productivity + Review projects to focus on equipment and manpower; review job costs and ... equipment utilization reports. Plan and review projects with Project Managers, Estimators and Superintendents. + Check equipment to monitor for repairs, utilization,… more