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Utilization Manager

Florida

7277 Utilization Manager jobs in Florida

New, Posted 9 hours ago
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Risk & Quality Performance Manager (Remote)

Molina Healthcare

Miami Gardens, FL 33056

$66,456-$129,590/yr
Remote

  • Bachelor's degree or equivalent combination of education and experience
  • 2+ years of program and/or project management experience in risk adjustment and/or quality
  • 2+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems
  • 2+ years of data analysis experience utilizing technical skillsets and resources to answer nuanced Risk and Quality questions posed from internal and external partners
  • Familiarity with running queries in Microsoft Azure or SQL server
  • Healthcare experience and functional risk adjustment and/or quality knowledge
  • Mastery of Microsoft Office Suite including Excel and Project
  • Experience partnering with various levels of leadership across complex organizations
  • Strong quantitative aptitude and problem solving skills
  • Intellectual agility and ability to simplify and clearly communicate complex concepts
  • Excellent verbal, written and presentation capabilities
  • Energetic and collaborative
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New, Posted 8 hours ago
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Case Manager Rehabilitation Healthcare Setting

Encompass Health Rehabilitation Hospital of Sarasota

Sarasota, FL 34240

OnsiteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

  • Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
  • If licensure is required for one's discipline within the state, individual must hold an active license.
  • Must meet eligibility requirements for CCM® or ACM™ certification upon entry into this position OR within two years of entry into the position.
  • CCM® or ACM™ certification required OR must be obtained within two years of being placed in the Case Manager II position.
  • For Nursing, must possess minimum of an Associate Degree in Nursing
  • A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an associate degree.
  • For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree
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New, Posted 8 hours ago
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Clinical Director

The Surgery Center at Doral

Miami, FL 33178

OnsiteUrgently HiringHealth InsurancePaid Time OffRetirement Benefit

  • Minimum of four years of supervisory/management experience required.
  • Knowledge of State, Federal and Accrediting Body regulations (AAAHC) and standards related to healthcare.
  • Willingness to participate in goal-setting and educational activities for own professional advancement and that of others.
  • Experience in budgeting and personnel management
  • Evidence of continuing education is directly related to the job specifications.
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Specialist - Research Quality and Assurance

Memorial Healthcare System

Fort Lauderdale, FL 33336

New, Posted 8 hours ago
Jobcase

JAIL DIVERSION COURT SPECIALIST

Community Health Systems

Miami, FL 33101

Bilingual Preferred
New, Posted 14 hours ago
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Patient Access Specialist - Full Time

Ensemble Health Partners

Jupiter, FL 33478

OnsiteEducation AssistanceHealth Insurance

  • High School Diploma/GED Required
  • 1+ years of customer service experience
  • CRCR Required within 9 months of hire (Company Paid)
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New, Posted 3 hours ago

QC Inspector

TEKsystems

Orlando, FL 32885

$25-$34/hr
New, Posted 8 hours ago
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Clinical Director

Lake Worth Surgical Center

Lake Worth Beach, FL 33460

OnsiteUrgently HiringHealth InsurancePaid Time OffRetirement Benefit

  • Minimum of four years of supervisory/management experience required
  • Equivalent experience required
  • Orthopedic experience required
  • Knowledge of State, Federal and Accrediting Body regulations (AAAHC) and standards related to healthcare.
  • Willingness to participate in goal-setting and educational activities for own professional advancement and that of others.
  • Experience in budgeting and personnel management
  • Evidence of continuing education is directly related to the job specifications.
SmartExplore AI is experimental.
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New, Posted 2 hours ago
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Operations Specialist

Breakthru Beverage Group

Tampa, FL 33619

Onsite

  • Bachelor's degree in Supply Chain, Finance or Accounting and/or equivalent training and work experience
  • Minimum of 3 year of professional experience in accounting, FP&A; function, or Operations
  • Advanced PC skills using MS Office and other various computer programs including presentation software
  • Must be a results-oriented professional with verbal/written communication skills using diplomacy and discretion as well as customer service skills
  • Ability to multi-task, work independently and/or within a team, pay attention to detail and meet deadlines
  • Analytic and Reporting skills
  • Utilize sound judgement and problem-solving skills
  • Ability to work in fast-paced, high-volume, team environment
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New, Posted 10 hours ago
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Call Center Sales Representative - Hybrid

At&t

Orlando, FL 32885

$18.68/hr
HybridEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

  • Call Center Sales Representative - Hybrid
  • Must be able to report to this location to work in center 3-4 days weekly and remotely from home 1-2 days weekly
  • 40 hour per week schedule
  • Paid training to set you up for success
  • Weekly Hours: 40
  • Location: Orlando, Florida
  • AT&T will provide the equipment you'll need to get started
  • Established dedicated work area (desk, chair, electrical outlet, surge protector, direct LAN connection)
  • Minimum internet service verification: 12mb upload speed and 18mb download speed
SmartExplore AI is experimental.
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  1. Florida Jobs
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  3. Utilization Manager Jobs

What companies are hiring Utilization Manager jobs in Florida?

  1. Molina Healthcare
  2. Encompass Health Rehabilitation Hospital of Sarasota
  3. The Surgery Center at Doral
  4. Memorial Healthcare System
  5. Community Health Systems
  6. Ensemble Health Partners
  7. TEKsystems
  8. Lake Worth Surgical Center
  9. Breakthru Beverage Group
  10. At&t

What is the hourly salary range for Utilization Manager jobs in Florida?

The hourly salary range is $18.68 - $34.

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