- GE Aerospace (Jacksonville, FL)
- …on customer relationships, regulatory compliance, contract terms, negotiation strategies, risk analysis and mitigation, and scope management. In this position, ... on customer relationships, regulatory compliance, contract terms, negotiation strategies, risk analysis and mitigation, and scope management. In this position,… more
- The Walsh Group (Miami, FL)
- …and critical path analysis. + Manages all project controls to assess risk and application to best practices and standards. Recommends and/or makes changes ... to established processes. Prepares complex risk and impact assessments of any changes to the...contingency plans. + Acts as an experienced resource for claims and mitigations. + Produces complex modeling and ensures… more
- Marriott (Clearwater Beach, FL)
- …fire prevention programs and emergency preparedness. * Conducts hazard and risk assessments at the property to include quarterly OSHA/SAFETY audits, incident ... others. * Implements action plans to monitor and control risk . * Monitors all unusual activities in and around...aid program for guests and employees. * Oversees the claims process and protects company assets by closely monitoring… more
- CVS Health (Tallahassee, FL)
- …medication reconciliation (if within scope of practice), fall assessment if fall risk identified + Complete inpatient confinement calls and monitoring for discharge ... + Uses discretion to apply strategies to reduce member risk + Facilitates overall care coordination with the care...advocate for themselves. The TOC team will review prior claims to address potential impact on current case management… more
- Molina Healthcare (St. Petersburg, FL)
- …focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. ... regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and… more
- CVS Health (Tallahassee, FL)
- …each and every day. Are you a strategic thinker with a passion for risk analysis and underwriting excellence? Join our dynamic team as an **Underwriter** , where ... driving business growth. What You'll Do + **Lead with Insight:** Analyze and assess risk for new and renewal employer group contracts across a diverse book of… more
- CVS Health (Tallahassee, FL)
- …medication reconciliation (if within scope of practice), fall assessment if fall risk identified. - Complete inpatient confinement calls and monitoring for discharge ... - Uses discretion to apply strategies to reduce member risk . - Facilitates overall care coordination with the care...advocate for themselves. The TOC team will review prior claims to address potential impact on current case management… more
- ZOLL Medical Corporation (Miami, FL)
- …to protect more than 1M patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia-management-system/) ... prevent delays in the appropriate provision of services and products and reduce risk to recurring revenue streams. + Develop and maintain full working knowledge of… more
- USAA (Tampa, FL)
- …are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:** + Bachelor's ... management standards and policies, and knowledge of applicable regulations and risk management practices. + Demonstrated experience with Lean, Business Process… more
- Humana (Tallahassee, FL)
- …to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more