NewMEP Manager JobotMEP ManagerSanford, FL$100,000–$175,000 / yearOur robust offering—which includes strategy, operational improvements, construction, and engineering—enables us to create one-of-a-kind solutions at the highest levels of customization, delivering precision and partnership to some of the world’s most sophisticated organizations. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
Branch Manager Insight Credit UnionBranch ManagerDeLand, FLFull timeAssist members and potential members with opening and closing accounts, answers questions about products and services, and refers credit union products and services beyond the members stated needs. Outside contacts become important and fostering sound relationships with other entities (companies and/or individuals) becomes necessary and often requires the ability to influence and/or sell ideas or services to others.
NewUtilities Project Manager JobotUtilities Project ManagerDeBary, FL$90,000–$110,000 / yearOur commitment to excellence, positive attitude, and extensive experience set us apart as a leading provider of surveying, mapping, and geospatial services in Florida and the Southern U.S. Join us and be part of a dynamic team shaping the future of our industry. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
NewQuality Manager JobotQuality ManagerSanford, FL$110,000–$120,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We are seeking a detail-oriented and proactive Quality Manager to lead and oversee all quality assurance and food safety programs within our manufacturing operations.
NewElectrical Operations Manager Davron LLCElectrical Operations ManagerEustis, FLThis Electrical Operations Manager opportunity blends field visibility with operational ownership, managing residential, commercial, industrial/manufacturing, and underground infrastructure work while keeping projects safe, efficient, and profitable. ELECTRICAL OPERATIONS MANAGER | EUSTIS, FL | SUMTERVILLE, FL | CENTRAL FLORIDA TERRITORY | JOB COSTING | FINANCIAL OVERSIGHT | CUSTOMER RELATIONSHIPS | VENDORS | TIMECARDS | FIELD TEAMS | SCHEDULING | PERMANENT DIRECT-HIRE .
Regional Petroleum Heavy Maintenance Manager OWL Services IncRegional Petroleum Heavy Maintenance ManagerApopka, FLOWL Services is the premier sales, installation, program management and service provider to retail, commercial, fleet, aviation and marine, and emergency power generation companies across the U.S. With 33 offices and distribution centers and more than 1,400 field service professionals, OWL delivers on a service platform that includes construction, compliance and testing, maintenance and repair, modernization and re-imaging, and EV charging solutions to keep businesses and people moving 24 hours a day, 7 days a week, 365 days a year. This position oversees all aspects of heavy maintenance operations, including compliance repairs, sump repairs, fueling system repairs, environmental remediation support, concrete and other petroleum-related maintenance services.
Maintenance Manager Roscoe Property ManagementMaintenance ManagerDaytona Beach, FL$30–$33 / hourActively mentor and train maintenance team members to enhance their skills and knowledge, fostering a highly skilled team capable of delivering efficient and effective maintenance services. The Maintenance Manager will contribute to resident retention by making repairs promptly, safely, and efficiently.
Assistant Maintenance Manager - Floater Concord ManagementAssistant Maintenance Manager - FloaterOviedo, FLDetermine repair, material, and supply requirements and perform any range of repairs including replacement of damaged floor covering, repair of walls, counter tops, fixtures, fans, windows, doors, and appliances, involving mechanical, electrical, plumbing or HVAC systems or units. Perform assigned range of preventive maintenance routines including change filters, check smoke detectors and replace batteries as required, change light bulbs, perform damage inspections, perform routine plumbing repairs, and update exterior light map.
Maintenance Manager Brookdale Senior Living IncMaintenance ManagerOrmond Beach, FLCoordinates maintenance requests by residents for items needing repair in their rooms, including repairing plumbing, electrical, heating and replacing light bulbs. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.
Maintenance Manager DomtarMaintenance ManagerSanford, FLYou will be required to successfully complete a selection process that could include interviews, an employment background check, a pre-employment drug and alcohol screen, reference verifications, aptitude tests (for some positions), and a fitness-for-duty test (for some positions). Work closely with Operational management to optimize the overall production and cost efficiency of the operation as well as manage risk.
Hotel Maintenance Manager -Holiday Inn Exress Valor Hospitality PartnersHotel Maintenance Manager -Holiday Inn ExressWinter Park, FloridaAccomplish engineering human resource objectives by recruiting, selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining associates; communicating job expectations, job duties and job responsibilities; planning, monitoring, appraising, and reviewing job contributions; planning and reviewing compensation actions; enforcing policies and procedures. Assist in the administration of the department to include but not limited to preparing and maintaining schedules, logs, records or other documentation to ensure a smooth operation and minimize liabilities.
Maintenance Manager Concord ManagementMaintenance ManagerSanford, FLParticipates in and monitor maintenance activities involving response to service requests, painting or general maintenance of grounds, pool, amenities, club house and apartment homes, as well as apartment home housekeeping and preventive maintenance. Ensures that maintenance related documentation is current and accurate, including EPA logs, MSDS sheets, smoke detector records, asset inventory, fire, compactor, and pool logs ensuring that records are current and meet requirements.
Hotel Maintenance Manager -Holiday Inn Exress Fat Pine LodgingHotel Maintenance Manager -Holiday Inn ExressWinter Park, FloridaAccomplish engineering human resource objectives by recruiting, selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining associates; communicating job expectations, job duties and job responsibilities; planning, monitoring, appraising, and reviewing job contributions; planning and reviewing compensation actions; enforcing policies and procedures. Assist in the administration of the department to include but not limited to preparing and maintaining schedules, logs, records or other documentation to ensure a smooth operation and minimize liabilities.
Maintenance Manager Domtar CorpMaintenance ManagerSanford, FLYou will be required to successfully complete a selection process that could include interviews, an employment background check, a pre-employment drug and alcohol screen, reference verifications, aptitude tests (for some positions), and a fitness-for-duty test (for some positions). Work closely with Operational management to optimize the overall production and cost efficiency of the operation as well as manage risk.
Maintenance Manager - Floater Concord ManagementMaintenance Manager - FloaterOviedo, FLParticipates in and monitors maintenance activities involving response to service requests, painting or general maintenance of grounds, pool, amenities, club house and apartment homes, as well as apartment home housekeeping and preventive maintenance. Ensures that maintenance related documentation is current and accurate, including EPA logs, MSDS sheets, smoke detector records, asset inventory, fire, compactor, and pool logs ensuring that records are current and meet requirements.
Maintenance District Manager - HVAC/R Buc-ee's LtdMaintenance District Manager - HVAC/RFLThe ideal candidate will have 5-7 years experience in facilities maintenance in the retail convenience store industry or in the HSE or maintenance programs of large retail operations. The essential job functions include, but are not limited to: Identify current and future maintenance requirements and costs by coordination with management, production personnel, tradesmen and technicians.
Resident Maintenance Manager Concord ManagementResident Maintenance ManagerFLParticipates in and monitors maintenance activities involving response to service requests, painting or general maintenance of grounds, snow and ice removal, pool, amenities, club house and apartment homes, as well as apartment home housekeeping and preventive maintenance. Additionally, EPA certification (either Universal or both Type I and Type II) is required and must be provided at the time of hire or obtained through company-provided training within six (6) months of hire to obtain the required certifications.
Maintenance Supervisor Housing Trust Group LLCMaintenance SupervisorEustis, FLTasks involve the ability to exert heavy physical effort and heavy work, including climbing, balancing, stooping, kneeling, crouching and crawling and lifting, carrying, pushing, and/or pulling of moderately heavy objects and materials weighing 20 to 50 pounds; may occasionally involve heavier objects and materials weighing up to 100 pounds. Tasks are regularly performed with potential expose to adverse environmental conditions such as strong odors, fumes, dust, wetness, humidity, machinery, vibrations, temperature and moist extremes, disease, pathogenic substances and toxic/poisonous agents.
Maintenance Supervisor FirstService CorpMaintenance SupervisorDaytona Beach, FL$20–$27 / hourClosely monitors, identifies, and communicates problems in every phase of general maintenance of the building(s), including areas of carpentry, electrical work, HVAC, plumbing, mechanic, painting, flooring, patching, general hardware, other minor building repairs, and cleanliness. Requesting Information About the AEDT - NYC Local Law 144: Candidates who reside in New York City and are subject to NYC Local Law 144 may request information about the AEDT, including details on the type of data collected, the sources of such data, and our data retention policies.
Maintenance Supervisor ZRSMaintenance SupervisorAltamonte Springs, FloridaAccurate record keeping of key property information (i.e., water shut-offs, sewer clean-outs, house meters, water meters, irrigation meters.). Assist in the maintaining of all common areas including sweeping, mopping, vacuuming, emptying trash, cleaning windows, pressure washing, etc.
Maintenance Supervisor HTG Management LLCMaintenance SupervisorEustis, FLTasks involve the ability to exert heavy physical effort and heavy work, including climbing, balancing, stooping, kneeling, crouching and crawling and lifting, carrying, pushing, and/or pulling of moderately heavy objects and materials weighing 20 to 50 pounds; may occasionally involve heavier objects and materials weighing up to 100 pounds. Tasks are regularly performed with potential expose to adverse environmental conditions such as strong odors, fumes, dust, wetness, humidity, machinery, vibrations, temperature and moist extremes, disease, pathogenic substances and toxic/poisonous agents.
Maintenance Supervisor Highmark Residential LLCMaintenance SupervisorSanford, FLWhy we need you: The Maintenance Supervisor is responsible for organizing, directing and managing the overall maintenance and preservation of the Community. Works hands-on to ensure market-ready, occupied and preventative maintenance is performed accurately and in a timely manner.
Maintenance Supervisor - Daytona Beach, Florida Pegasus ResidentialMaintenance Supervisor - Daytona Beach, FloridaDaytona Beach, FLThe ideal candidate has experience managing older multifamily assets, understands preventative maintenance, and can effectively lead a maintenance team while controlling expenses and vendor usage. We are seeking an experienced maintenance supervisor to lead maintenance operations at a multifamily community in Roswell, GA.
NewSupervisor Maintenance Ryder System IncSupervisor MaintenanceApopka, FL$83,000–$88,000 / yearSkilled in electrical and mechanical maintenance, including branch circuits, lighting systems, transformers, photo eyes, motor starters, relays, limit switches, timers, solenoids, servo drives, frequency inverters, linear drives, tachometers, and encoders. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Maintenance Supervisor RAM Partners, LLCMaintenance SupervisorDaytona Beach, FLRAM Partners, LLC, is a full-service real estate management company that manages amore than 80,000 apartments throughout the United States. If you have a disability and need an accommodation or assistance with the application process and/or using our website, please email Talent Acquisition Partner at talent@rampartnersllc.com.
Maintenance Supervisor FirstService ResidentialMaintenance SupervisorDaytona Beach, FL$20–$27 / hourFull timeClosely monitors, identifies, and communicates problems in every phase of general maintenance of the building(s), including areas of carpentry, electrical work, HVAC, plumbing, mechanic, painting, flooring, patching, general hardware, other minor building repairs, and cleanliness. Requesting Information About the AEDT - NYC Local Law 144: Candidates who reside in New York City and are subject to NYC Local Law 144 may request information about the AEDT, including details on the type of data collected, the sources of such data, and our data retention policies.
Maintenance Supervisor - Alta Trilogy Greystar Real Estate Partners LLCMaintenance Supervisor - Alta TrilogyLongwood, FL$28–$30 / hourOversees and completes the "make-ready" process to prepare vacant apartment homes for leasing and new move-ins by completing the pre-move-out inspection, creating a "punch" list of maintenance work needed, scheduling vendors and contractors as needed, obtaining needed supplies and materials, completing all maintenance tasks, and inspecting completed work. Proficiency in customer service and interpersonal communication skills in order to effectively interact with residents, clients, team members, and other business contacts, respond courteously to questions and requests, and stay calm when addressing and resolving customer problems.
NewSupervisor Maintenance RyderSupervisor MaintenanceSanford, Florida$83,000–$88,000 / yearSkilled in electrical and mechanical maintenance, including branch circuits, lighting systems, transformers, photo eyes, motor starters, relays, limit switches, timers, solenoids, servo drives, frequency inverters, linear drives, tachometers, and encoders. Compensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate’s relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc.
NewMaintenance Technician, Residential The RMR GroupMaintenance Technician, ResidentialWinter Park, FloridaRMR has been recognized by The Boston Globe as a “Top Place to Work”, by the Environmental Protection Agency (EPA) as an “ENERGY STAR Partner of the Year” and ranked by the Building Owners and Managers Association (BOMA) as having one of the highest number of BOMA 360 designated properties in its portfolio. RMR’s vertical integration is strengthened by nearly 900 real estate professionals in more than 30 offices nationwide who manage approximately $40 billion in assets under management and leverage more than 35 years of institutional experience in buying, selling, financing and operating CRE.
Maintenance Supervisor - Alta Trilogy Education Realty Trust Inc (Inactive)Maintenance Supervisor - Alta TrilogyLongwood, FL$28–$30 / hourOversees and completes the "make-ready" process to prepare vacant apartment homes for leasing and new move-ins by completing the pre-move-out inspection, creating a "punch" list of maintenance work needed, scheduling vendors and contractors as needed, obtaining needed supplies and materials, completing all maintenance tasks, and inspecting completed work. Proficiency in customer service and interpersonal communication skills in order to effectively interact with residents, clients, team members, and other business contacts, respond courteously to questions and requests, and stay calm when addressing and resolving customer problems.
Apartment Asst Maintenance Supervisor Property Management Services in Florida & GeorgiaApartment Asst Maintenance SupervisorOrmond Beach, FloridaFlynn Management is looking to fill an open position for a Full Time Maintenance Assistant Supervisor to join our team for apartment community in Ormond Beach, FL area. The ideal candidates will have a minimum of 3 years similar experience, be self-motivated, able to work independently and own tools.
Residential Maintenance Supervisor Eden Crystal Lake RKW ExternalResidential Maintenance Supervisor Eden Crystal LakePort Orange, FloridaWhile performing the duties of this job, the employee is occasionally exposed to wet and/or humid conditions; moving mechanical parts; fumes or airborne particles; outside weather conditions; extreme cold; extreme heat and risk of electrical shock. While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl and talk or hear.
Residential Maintenance Technician Eden Crystal Lake RKW ExternalResidential Maintenance Technician Eden Crystal LakePort Orange, FloridaWhile performing the duties of this job, the employee is occasionally exposed to wet and/or humid conditions; moving mechanical parts; fumes or airborne particles; outside weather conditions; extreme cold; extreme heat and risk of electrical shock. While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl and talk or hear.
Apartment Asst Maintenance Supervisor Flynn Management CorpApartment Asst Maintenance SupervisorOrmond Beach, FLFlynn Management is looking to fill an open position for a Full Time Maintenance Assistant Supervisor to join our team for apartment community in Ormond Beach, FL area. The ideal candidates will have a minimum of 3 years similar experience, be self-motivated, able to work independently and own tools.
Maintenance Technician for an Apartment Community InterSolutionsMaintenance Technician for an Apartment CommunityDaytona Beach, FL$18–$22 / hourPerform electrical, plumbing, appliance, and carpentry repairs, including: Repairing electrical circuits, switches, and breakers. As a Maintenance Technician, you'll address service requests and maintain the community at the direction of the maintenance supervisor or property manager.
Maintenance Supervisor III Brunswick CorpMaintenance Supervisor IIIEdgewater, FL$70,600–$101,800 / yearSee how your contributions will help transform vision into reality: Position Overview: As part of the talented Boston Whaler team, the Maintenance Supervisor III is a senior frontline maintenance leader responsible for ensuring the reliability, efficiency, and performance of manufacturing equipment, facilities, and supporting systems within a high-volume marine manufacturing environment. Brunswick Boat Group is home to a diverse portfolio of iconic marine brands, including Bayliner, Boston Whaler, Crestliner, Harris, Heyday, Lowe, Lund, Navan, Princecraft, Protector, Quicksilver, Rayglass, Sea Ray, Spartan, Thunder Jet, and Uttern.
Maintenance Technician ZRSMaintenance TechnicianDaytona Beach, FloridaTurnover maintenance includes but is not limited to: installation of blinds, change filters, replace bulbs, replace drip pans as needed, and replace door stoppers, caulk, and other miscellaneous repairs as needed. The Maintenance Technician is responsible for the overall maintenance of the property, including but not limited to: Perform independently technical maintenance repairs to plumbing, electrical, heating, and air conditioning, appliances, and any other aspect as needed.
Maintenance Technician - Solis at Winter Park - Apply Today! ZRSMaintenance Technician - Solis at Winter Park - Apply Today!Winter Park, FloridaTurnover maintenance includes but is not limited to: installation of blinds, change filters, replace bulbs, replace drip pans as needed, and replace door stoppers, caulk, and other miscellaneous repairs as needed. The Maintenance Technician is responsible for the overall maintenance of the property, including but not limited to: Perform independently technical maintenance repairs to plumbing, electrical, heating, and air conditioning, appliances, and any other aspect as needed.
Property Manager - 200 Unit Community | Winter Park, FL | Semoran Blvd ClassetProperty Manager - 200 Unit Community | Winter Park, FL | Semoran BlvdWinter Park, FL$60,000–$70,000 / yearIf you're burned out on red tape, tired of waiting weeks for simple decisions to get approved, and ready to actually feel the impact of your work — keep reading. Day-to-day operations, resident relationships, leasing, and partnering with your team, Leasing Professional, Maintenance Supervisor, and Technician, to keep things running well.
Maintenance Technician II Highmark Residential LLCMaintenance Technician IISanford, FLWhy we need you: The Maintenance Technician II is responsible for efficiently performing all necessary maintenance for the apartment community and to the Maintenance Supervisor with directing and managing the overall maintenance programs of the apartment community. Because every position is considered critical to Highmark's success and reputation, we take care to employ those who aspire to become the best in their field.
NewMaintenance Technician Wendover Management, LLCMaintenance TechnicianLongwood, FLAs one of the Southeast’s premier affordable and workforce housing companies, our expansive portfolio of affordable and mixed-income developments demonstrates our continuing ability to create housing opportunities in a variety of economically and socially diverse neighborhoods. You will be responsible for the meticulous upkeep of grounds, amenities, building exteriors, leasing office, common areas, parking lot/garage, and other community buildings.
Boston Whaler - Maintenance Scheduler Brunswick CorpBoston Whaler - Maintenance SchedulerEdgewater, FL$22–$32.98 / hourBrunswick Boat Group is home to a diverse portfolio of iconic marine brands, including Bayliner, Boston Whaler, Crestliner, Harris, Heyday, Lowe, Lund, Navan, Princecraft, Protector, Quicksilver, Rayglass, Sea Ray, Spartan, Thunder Jet, and Uttern. Utilizing the Mpulse CMMS (Computerized Maintenance Management System), you will prioritize repairs, allocate assets, and coordinate with production leads to ensure maintenance happens with minimal impact on boat-building timelines.
Team Lead-Line Maintenance B. Braun Medical LtdTeam Lead-Line MaintenanceDaytona Beach, FL$28.33–$36.38 / hourThe targeted range for this role takes into account a range of factors that are considered when making compensation and hiring decisions; included but not limited to: skill sets; experience and training; licensure and certifications; and other business and organizational needs. Assists the Supervisor in leading a group of peers and/or subordinates, primarily focused on coordination of work which may include materials loading, production functions, maintenance functions, and training/mentoring.
Maintenance Technician (Full Time) Compass Group USA IncMaintenance Technician (Full Time)Altamonte Springs, FL$17–$18 / houro Cleans, lubricates, services, repairs or diagnoses malfunction of HVAC, electrical and mechanical building systems, sterilizers, sprinkler and standpipe systems, transport systems, electronic signaling systems, fire alarm systems and similar specialty equipment items with appropriate training, certification skills and licensing requirements as needed. Full-time and part-time positions offer the following benefits to associates: Retirement Plan, Associate Shopping Program, Health and Wellness Programs, Discount Marketplace, Identity Theft Protection, Pet Insurance, Voluntary Benefits, including Critical Illness Insurance, Accident Insurance, Hospital Indemnity Insurance, Legal Services, and Choice Auto and Home Program.
Maintenance Worker 2nd Shift Hilton Grand Vacations IncMaintenance Worker 2nd ShiftDaytona Beach, FLIn addition, this position must possess basic knowledge in Electrical, HVAC, Plumbing, Mechanical Equipment, Carpentry, Painting, Appliance repair, Flooring repair, and general building trades. Complete work orders including preventive maintenance and planned corrective daily work orders reported by engineering management, front desk, or otherwise assigned during the shift.
Grounds Maintenance Worker Knight Enterprises Management, L.L.C.Grounds Maintenance WorkerTitusville, FloridaJOB POSTING JOB TITLE: Grounds Maintenance Worker DEPARTMENT: Grounds Maintenance REPORTS TO: Facility Operations Manager PURPOSE OF POSITION: Maintaining the outside grounds of the facility. Involved in special assignments which may include cleaning up excess water, unloading supplies, stocking supplies, boarding windows and completing emergency preparedness procedures.
Part-Time Grounds Maintenance Worker Knight Enterprises Management, L.L.C.Part-Time Grounds Maintenance WorkerTitusville, FloridaInvolved in special assignments which may include cleaning up excess water, unloading supplies, stocking supplies, boarding windows and completing emergency preparedness procedures. OB TITLE: Part-Time Grounds Maintenance Worker DEPARTMENT: Grounds Maintenance REPORTS TO: Facility Operations Manager PURPOSE OF POSITION: Maintaining the outside grounds of the facility.
MAINTENANCE TECHNICIAN (FULL TIME) Compass Group North AmericaMAINTENANCE TECHNICIAN (FULL TIME)Altamonte Springs, FL$17–$18 / houro Cleans lubricates services repairs or diagnoses malfunction of HVAC electrical and mechanical building systems sterilizers sprinkler and standpipe systems transport systems electronic signaling systems fire alarm systems and similar specialty equipment items with appropriate training certification skills and licensing requirements as needed. Full-time and part-time positions offer the followingbenefits to associates Retirement Plan Associate Shopping Program Health and Wellness Programs Discount Marketplace Identity Theft Protection Pet Insurance Voluntary Benefits including Critical Illness Insurance Accident Insurance Hospital Indemnity Insurance Legal Services and Choice Auto and Home Program.
Senior Trades Worker - Maintenance St. Johns River Water Management DistrictSenior Trades Worker - MaintenanceApopka, FL$38,188.80–$43,680 / yearResponsibilities include monitoring and reporting facility issues, performing routine maintenance and repairs, responding to service requests, assisting with office and workspace setup, and coordinating with service providers. This may include commercial and residential type HVAC and generator systems; plumbing, landscaping, carpentry, wall repair, painting offices, and common areas, as well as all other related duties as assigned by the Facilities Program Manager.
Case Manager / RN (licensed in all 50 states) MedWatchCase Manager / RN (licensed in all 50 states)Lake Mary, FLRemote$72,000–$81,000 / yearThe Case Manager will work in conjunction with the Case Management Assistant to manage case management files, exclusive of Assessment and/or Care Plan activities, and will provide input in the Annual Performance Evaluation of the CM Assistant assigned. If there are no benefits available for your recommended alternative treatments, provide to the payer a cost-benefit analysis to demonstrate that extra-contractual services will enhance the patient’s medical condition and will be cost-effective to the benefit plan.