- Travelers Insurance Company (Tallahassee, FL)
- …1 **What Is the Opportunity?** Responsible for the coordination, and implementation, of the workers compensation managed care program for a specific state to ... policyholders and agents with the enrollment process. Responsible for managed care processes including state panel production,... Care Consultant in the managed care compliance activities in accordance with Workers … more
- Medtronic (Jacksonville, FL)
- …in business planning/consulting and territory financial analysis; preferred knowledge of managed care + Experience / knowledge of Physiology/clinical therapies ... world. **A Day in the Life** The Medtronic Sales Representative II, Pain Therapies will manage territory base business...accounts - Neurology, Physiatrist, Oncology, Internal Medicine, or Primary Care Physician/GP + Minimum of 1 year referral and… more
- Medtronic (St. Petersburg, FL)
- …in business planning/consulting and territory financial analysis; preferred knowledge of managed care + Experience / knowledge of Physiology/clinical therapies ... Day in the Life** At Medtronic, the Associate Sales Representative , Pain Interventions is an entry level role that...accounts - Neurology, Physiatrist, Oncology, Internal Medicine, or Primary Care Physician/GP + Minimum of 1 year referral and… more
- University of Miami (Miami, FL)
- …calls, efficient management of patients, and the acquisition of necessary patient care and records. The Clinical Business Operations Representative 3 assists ... an exciting opportunity for a Full-Time Clinical Business Operations Representative 3 to work in Miami. The Clinical Business...prompt resolution of problems related to pre and post care that arise in daily clinical operations. The incumbent… more
- UKG (Ultimate Kronos Group) (Weston, FL)
- …seeking a dynamic, customer-focused individual to join our team as a Sr. Account Representative . In this role, you will support an assigned dedicated account base of ... Enterprise Customer team. You will be responsible for providing high-touch care , customer education, and support for assigned customers, including responding to… more
- CDM Smith (Miami, FL)
- …time. Ensuring all aspects of construction work scopes are being effectively managed and performed by the construction contractors. **Job Title:** Construction ... Representative 4 (Contract Compliance Manager) **Group:** CEI **Employment Type:**...active part in shaping your career journey. Where your co- workers are invested in you and your success. Where… more
- MyFlorida (Pensacola, FL)
- …The Department of Children and Families and The Office of Childrens Medical Services Managed Care Plan and Specialty Programs. The program offers home-based ... MFC RN will work in collaboration with the Medicaid Managed Care Plan, the Community Based Agency...including, but not limited, to the MFC client's Medicaid Managed Medical Assistance (MMA) plan and CBC representative… more
- ChenMed (Miami, FL)
- …proactive professional who excels in evidence-based pharmacy practices. With a focus on managed care , this person will prioritize the most cost-effective options ... for HEDIS measures. + Acts as the pharmacy department's representative on pertinent committees and teams, taking on the...discretion. KNOWLEDGE, SKILLS AND ABILITIES: + Strong understanding of managed care practices and operations. + Knowledge… more
- Sevita (Jacksonville, FL)
- …for each person served. + Maintains a functional understanding of funding, managed care requirements, and licensing requirements for each person served. ... mission. **SUMMARY** Directs a department or program responsible for delivering health care services to clients/individuals. Manages staff RNs, and works in tandem… more
- Centene Corporation (Tallahassee, FL)
- …plans related to mental health and substance abuse across the continuum of care . Experience with managed care , case management, utilization management, ... and partner to providers, identifying and addressing barriers that impact member care and outcomes. This role supports improved coordination of services and promotes… more
- Medtronic (Jacksonville, FL)
- …personnel development activities and mentoring, including a succession plan for managed teams. + Financial Accountability - Demonstrated ability and experience ... within the Responsibilities section of this job description are representative of those that must be met by an...interact with a computer, and communicate with peers and co- workers . Contact your manager or local HR to understand… more
- Medtronic (Jacksonville, FL)
- …to cyber security threats, anomalies, and attacks in partnership with our 24x7 managed SOC. Key activities include: * Provide thought leadership to a global team ... within the Responsibilities section of this job description are representative of those that must be met by an...interact with a computer, and communicate with peers and co- workers . Contact your manager or local HR to understand… more
- Community Health Systems (Sarasota, FL)
- …additional documentation needs, and resolution strategies. + Works closely with the Managed Care Department to address ongoing issues with contracted insurance ... updates to leadership on claim status and outcomes. + Assists case workers with pre-certification and authorization issues related to appeals, providing necessary… more
- …individual contributor focused on providing a distinctive client experience anchored in care , expertise, and financial solutions delivery to clients and prospects in ... and a complete financial review. 4. Remains available according to workforce managed schedule to deliver an exceptional client experience for inbound calls. 5.… more