- CenterWell (Orlando, FL)
- …is ready to provide You this and More! Benefits that start Day One of Employment We Care for those that Care for our Patients - find out more about what ... Career! The **RN C** **linical** **Manager** coordinates and oversees all direct care patient services provided by clinical personnel. + Develops, plans, implements,… more
- AdventHealth (Maitland, FL)
- …documentation (eg issues logs, monthly report outs). . Performs thorough review of managed care contracts and compares such contracts against patient claims to ... identify and prevent claim underpayments. . Provides feedback to managed care on identified underpayment issues for remediation with the payor. . Supports with… more
- Nestle (Orlando, FL)
- …in the pharmaceutical/biotech or related industry OR 5+ years combined experience in managed care , pharmacy benefit reimbursement and complex product sales in ... and compliant way to support appropriate patient access to care . This role reports to the Sr Director...for the benefit of patients and their continuity of care , while following all compliance initiatives and… more
- Elevance Health (Altamonte Springs, FL)
- …is licensed staff supervision. **EDUCATION/EXPERIENCE REQUIREMENTS:** + Prior experience in Managed Care setting required. **Additional requirements for BH UM:** ... + Supports quality improvement activities. + May assist with implementation of cost of care initiatives. + May attend meetings to review UM and/or CM process and… more
- US Anesthesia Partners (Maitland, FL)
- …performed is in office environment + Involves frequent contact with professional staff and managed care organizations + Work may be stressful at times + ... processes. This role provides administrative support to the Human Resources Director as needed, including record-keeping, file maintenance and HRIS entry. This… more