Perform all types of utilization management (UM) reviews, including but not limited to Pre service, Post service, Concurrent Review and Appeals Discuss cases with physician providers (Peer to Peer) Apply health plan review hierarchy to member contracts, medical policy, clinical guidelines and other approved resources to render timely decisions on medical necessity request

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change. At Availity, we're not just another Healthcare Technology

Duties involve ensuring compliance in the areas of personnel security/visitor control, information system security, physical security, document control. Requires rapid responses on multiple tasks to identify solutions for emerging requirements, frequently with short turnaround times. Provide briefings on the overall security programs and related Maintain document control

Recreation Supervisor | Full Time Job Locations US FL Orlando Requisition ID 2024 109662 # of Openings 1 Category (Portal Searching) Recreation Location Orlando Resort at Championsgate The Omni Orlando Resort at ChampionsGate is surrounded by 36 holes of championship Orlando golf and 15 acres of recreation, this four diamond resort is one of the nation's premier golf, mee

Group Rooms Coordinator | Reservations Full Time Job Locations US FL Amelia Island Requisition ID 2024 109843 # of Openings 1 Category (Portal Searching) Reservations Location Amelia Island Resort At Omni Amelia Island Resort guests can explore 3.5 miles of pristine beach and scenic marshlands while enjoying luxurious oceanfront accommodations, world class resort pools, c

Genesys empowers more than 7,500 organizations in over 100 countries to improve loyalty and business outcomes by creating the best experiences for customers and employees. Through Genesys Cloud, the #1 AI powered experience orchestration platform, Genesys delivers the future of CX to organizations of all sizes so they can provide empathetic, personalized experiences at sc

PLEASE NOTE Your application will expire one year from the time of submission. Please feel free to apply to any other positions for which you may qualify. Our team members enjoy competitive salaries, a well rounded benefits package, generous paid time off (including 25 holidays, vacation, and sick leave), and an array of professional development opportunities. We're always

District Manager Job Locations US FL Jacksonville ID 2024 28001 Category Management Overview R anked among Forbes Best Employers in America 2017, Ferrellgas knows dedicated superior service starts with supported employees. Ferrellgas is looking for a District Manager to join the team! The District Manager position is responsible for Propane Delivery drivers, customer sati

Members of the Field Operations team manage a variety of special projects, using operational knowledge to assist with store inventory and procedures. The ideal candidate will create a seamless transition between staffing when shortages occur. Other duties include Product handling. Inventory control and reduction. Sales and estimating. Special projects as assigned Qualific

Corporate Development Manager Job Locations US FL Palm Beach Gardens ID 2024 13955 Overview As the Corporate Development Manager, you will be member of the global corporate development team and will focus primarily on the North America region and will work in a small team on specific projects and supporting senior team members with the view that you will be able to work i

Assistant Front Office Manager A beloved hotel with an enviable oceanfront location is now even better, following a $50 million renovation. Our newly redesigned Loews Miami Beach Hotel includes all new touchpoints throughout the property. Welcome to a South Beach Icon, Reimagined. Responsible for coordinating the provision of world class front desk services to hotel guest

The Director of Regional Operations provides business line leadership, direction, decision making, and oversight for Jubilant Radiopharma pharmacies in a designated geographic area. This individual is responsible for directing pharmacy managers across the region to achieve operational and profit objectives while maintaining sound healthcare management practices in alignme

Organizational Change Manager (5/13) Job details Posted 07 May 2024 Location Tallahassee, FL Job type Permanent Reference 920239 Job description Job Title Organizational Change Manager Job Location Tallahassee, FL (on site) Job Duration 13 month contract Job Overview Scan the external IT environment to provide planning assumptions, competitive analysis, current and future

Regional Sales Manager US SE Region Are you a Sales Manager motivated by deriving customer solutions and closing deals? Would you like the opportunity to further develop your career with a global energy technology company? Join our BRUSH sales team! At Baker Hughes our purpose is clear. We take energy forward making it safer, cleaner and more efficient for people and the

Proactively assess Production Control, Visual Factory and Production Coordinator staff in emerging work centers. Ensure staffing is available, trained, and ready to support those work centers. Ensure direct reports are highly capable in all Production core responsibilities by training new employees on technical Production Control procedures and providing training to all s