- Healthfirst (FL)
- …Onboarding and Consumer Directed Personal Assistant Assessments and identify any issues or risk factors that require clinical escalations to a CM/PCM. + Initiate and ... finalize authorization in Trucare for preapproved services and DMEs and update and discontinue authorizations when applicable + Handle and accurately document calls to and from members to assist with benefit questions/issues, schedule appointments, assessment… more
- Travelers Insurance Company (Orlando, FL)
- …for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other ... experts. + Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. + Maintains claim files and documents claim file activities in accordance with established procedures. + Utilizes… more
- Molina Healthcare (Miami, FL)
- …Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize ... safety for members. This position is responsible for the initial credentialing, recredentialing and ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations according to Molina policies and procedures. This… more
- Intermountain Health (Tallahassee, FL)
- …questions + Ensures that coded data accurately reflects the severity of illness, risk of mortality, and quality of care + Performs audits including DRG (Diagnosis ... Related Groups), ICD-10 CM/PCS (Procedure Classification System), CPT, and PSI (Patient Safety Indicators) + Analyzes data and collaborates with applicable stakeholders to identify aberrant coding patterns and trends. + Participates in hospital quality… more
- Bristol Myers Squibb (Pensacola, FL)
- …license in good standing issued by your state of residence; and, 3) a driving risk level deemed acceptable by the Company. Benefit offerings are subject to the terms ... and conditions of the applicable plans then in effect and may include the following: Medical, pharmacy, dental and vision care. Wellbeing support such as the BMS Living Life Better program and employee assistance programs (EAP). Financial well-being resources… more
- L3Harris (Palm Bay, FL)
- …security protocols, firewalls, and access controls + Support ICD 503 Risk Mitigation Framework (RMF) processes by patching, hardening, and/or upgrading systems ... as appropriate. + Travel for this position can be up to 20% annually. + Frequently moves equipment weighing up to 35 pounds across campus for various needs. Qualifications: + Bachelor's Degree and minimum 4 years of prior relevant experience. Graduate Degree… more
- L3Harris (Palm Bay, FL)
- …RedHat 8, 9, Netapps, CommVault, and VMWare Tools + Experience with the Risk Management Framework process under DAAPM, DISA STIGs + Microsoft Windows Server ... 2012,2019, Windows 10, 11 + Able to effectively communicate to the DoD engineering/program community. #LI-NR1 L3Harris Technologies is proud to be an Equal Opportunity Employer. L3Harris is committed to treating all employees and applicants for employment with… more
- Iron Mountain (Sunrise, FL)
- …a look at our history here. Iron Mountain helps lower cost and risk , comply with regulations, recover from disaster, and enable digital and sustainable solutions, ... whether in information management, digital transformation, secure storage and destruction, data center operations, cloud services, or art storage and logistics. Please see our Values and Code of Ethics for a look at our principles and aspirations in elevating… more
- Travelers Insurance Company (Tampa, FL)
- …for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other ... experts. + Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. + Maintains claim files and documents claim file activities in accordance with established procedures. + Utilizes… more
- Teledyne (Daytona Beach, FL)
- …+ Resolve repeated quality concerns, process and product related. + Identify, measure risk of escape, and contain product quality concerns. + Work overtime / ... weekends as required to meet business demands **Education and Experience:** + High School Diploma or GED + Minimum one of the following: + Two year technical degree + 3 years work experience in quality **Job Knowledge, Skills and Abilities:** + Ability to work… more