- 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
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …internal staff and external customers, supporting formulary initiatives, and executing utilization management tools like prior authorization programs and drug ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Medtronic (Fort Lauderdale, FL)
- …Surgical Centers of Therapy (COTs). This role ensures seamless product utilization by assisting with on-site procedures, addressing customer inquiries, performing ... on-site support for regional conversions and product adoption strategies. **Inventory Management ** + Maintain accurate tracking and availability of surgical products… more
- Omni Hotels (Fort Lauderdale, FL)
- …of program arrival). + Drive function space optimization/maximization, to ensure best utilization of space for guest experience and financial performance of hotel. + ... in a professional manner. + Mentor and develop administrative staff and management staff for future growth as assigned. + Responsible for accurately forecasting… 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
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …services. The ideal candidate will have a strong background in IT management , exceptional leadership skills, and a proven track record of successfully implementing ... Responsibilities: This position oversees IT roles Duties/Responsibilities: + Team Leadership & Management + Supervise and mentor a team of 6 server and desktop… 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
- Terumo Aortic (Sunrise, FL)
- …+ Creates account specific strategies by geography to drive market acceptance and utilization of Thoracic devices. + Assists with new implanters of Thoracic devices, ... Medical Education + Actively involved in sales and clinical representative training of Thoracic products with an emphasis on...+ Prepares sales activity reports and presents at sr. management and other meetings. + Prepares periodic sales report… 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
- Centers Plan for Healthy Living (Margate, FL)
- …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to ... # Direct Reports: 0 PHYSICAL REQUIREMENTS: The physical requirements described here are representative of those that must be met by an employee to successfully… more