- Elevance Health (Miami, FL)
- ** Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... 6 weeks and may require reporting to the nearest office.** The ** Utilization Management Representative I** is responsible for coordinating cases for… more
- Elevance Health (Miami, FL)
- ** Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative II** is responsible for managing incoming calls,… more
- Elevance Health (Miami, FL)
- ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible for coordinating cases… more
- Molina Healthcare (Miami, FL)
- …physicians. Such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct coding, for ... **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and… more
- Sedgwick (Miami, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation (REMOTE- State License Required)) Are you looking ... physician filings and decisions on appropriate treatments recommended by utilization review. + Maintains professional client relationships. **ADDITIONAL FUNCTIONS… more
- Sedgwick (Miami, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation | Jurisdiction: Multi State | TX/FL/OK/LA License ... and physician filings and decisions on appropriate treatments recommended by utilization review. + Maintains professional client relationships. + Performs other… more
- Anywhere Real Estate (Miami, FL)
- …applications such as comparative raters, insurance carrier systems, CRM and agency management systems + Source new sales lead opportunities provided by Anywhere ... business clients through prospect and client planning, client outreach, sales meeting, utilization of company tools provided to increase sales efforts, etc. +… more
- US Courts (Miami, FL)
- …divisions and judges' chambers function optimally and is responsible for the management and oversight of all space and facilities day-to-day building management ... divisions and judges' chambers function optimally and is responsible for the management and oversight of all space and facilities day-to-day building management… more
- Santander US (Coconut Grove, FL)
- …assignment for implementation projects, while ensuring consistent and balanced resource utilization across the team. + Partners and consults with internal business ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Robert Half Finance & Accounting (Miami, FL)
- …Backlog: Number of incoming tickets and outstanding unresolved cases. + Agent Utilization & Productivity: Tickets solved per representative , adherence to ... Description The Customer Success Representative (CSR) ensures accurate and timely responses to...Escalation Rate: Percentage of tickets requiring advanced support or management involvement. + Service Level Agreement (SLA) Compliance: Percentage… more
- Fresenius Medical Center (Miami, FL)
- …on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative ... questions. + Identifies and communicates patient related issues to facility management , as needed. + Completes documentation of patient information from admission… more
- Google (Miami, FL)
- …experience. + 7 years of experience in business development, partnerships, management consulting, or investment banking, in the Consumer Electronics, Auto, OEMs, ... with C-level executives and cross-functionally across all levels of management . + Experience managing agreements or partnerships. **Preferred qualifications:** +… more