Senior Account Manager (Client Services) Avenue ZSenior Account Manager (Client Services)Orlando, FloridaThe Senior Account Manager, Client Services will serve as the strategic liaison between our internal teams and key clients, combining program management with account management to ensure project success and long-term client satisfaction on a limited portfolio of accounts. This role is responsible for overseeing the delivery of multi-project and/or multi-service programs while fostering strong client relationships, identifying growth opportunities, and ensuring overall client retention.
Account Manager (Client Services) Avenue ZAccount Manager (Client Services)Orlando, FloridaThe Account Manager, Client Services will serve as the strategic liaison between our internal teams and key clients, combining program management with account management to ensure project success and long-term client satisfaction on a limited portfolio of accounts. This role is responsible for overseeing the delivery of multi-project and/or multi-service programs while fostering strong client relationships, identifying growth opportunities, and ensuring overall client retention.
BIM Manager Kingspan Group PlcBIM ManagerDeland, FLEnsure all company products remain current and accurately represented within BIM models, maintaining change control workflows so product updates, revisions, and configuration changes are properly reviewed, approved, and reflected across all coordinated models. The ideal candidate brings deep expertise in Building Information Modeling, strong proficiency in computational design tools such as Dynamo, and hands-on experience with the Autodesk Ecosystem, administering Autodesk Forma (formerly Construction Cloud - ACC) environments to streamline collaboration and project delivery.
Key Account Manager Nesco Resource, LLCKey Account ManagerOrlando, FL$28–$31 / hourThe ideal candidate is organized, proactive, customer-focused, and skilled at working across teams to drive projects forward and deliver successful product launches. This role helps coordinate accounts, keep projects on schedule, and ensure new opportunities move smoothly from initial customer brief through production and commercialization.
Communications & Marketing Manager Man In The Mirror Inc.Communications & Marketing ManagerCasselberry, FLThe Manager participates in marketing planning and budget development with the VP of Operations and the broader leadership team and serves as the primary point of contact with an outside marketing agency on select projects such as advanced graphic design, video production, or website work. This is a working manager position: the person in this role sets direction alongside the leadership team and also personally executes the day-to-day work — content creation, social media, email marketing, and newsletters.
FEMA Public Assistance Grant Manager - Florida Statewide SafeworkFEMA Public Assistance Grant Manager - Florida StatewideDeltona, FloridaHeavily integrate with clients to support their comprehensive recovery efforts across several multi-billion dollar, long-term and short-term disaster recovery projects simultaneously. Provide clients with FEMA PA policy expertise guiding clients through administrative and policy challenges and help drive overall FEMA PA project strategy and client decision-making.
Housing/Residential Construction Manager (Mosca, CO) Planate Management Group, LLCHousing/Residential Construction Manager (Mosca, CO)Orlando, FLPlanate Management Group (PMG) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) headquartered in Alexandria, Virginia, and Orlando, Florida USA with a technical support center in South East Asia and East Africa, that provides program management and facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, and construction management services in support of the US Department of Defense (DOD) and its Service (Army, Air Force, Navy, Marine Corps) missions, along with other US federal agencies, all over the world.
Assistant Store Manager - No Nights! SmartStop Self Storage REIT IncAssistant Store Manager - No Nights!Ocoee, FLThis position is involved in all phases of the operation, including leasing storage and parking, managing a team, assisting with maintenance, supervising on-site projects, and maintaining good relationships with tenants. Weve earned Newsweeks Best Customer Service for three consecutive years (20212023) and the prestigious Reputation 800 Award (2023).
General Manager Papa John'sGeneral ManagerOrlando, FloridaFlexibility: Willing to perform a wide range of tasks, positively• responds to changes in direction and priorities, and accepts• new challenges, responsibilities and assignments Successful restaurant management or supervision• experience preferred High school diploma (or equivalent) required Serv-Safe/Local/State Food Service Certification Cash management skills Bilingual in certain markets Must have a driver’s license valid under the laws of the• state(s) where the team member works, proof of• insurance, satisfactory vehicle and the ability to drive Familiarity with restaurant management software, like• POS, ATS and web-based scheduling preferred. Job Purpose: (high-level summary of why position exists and what value it brings to the organization)• This role has primary responsibility for shift management, hiring/firing, onboarding, training, development, corrective• action, and managing performance of restaurant team members and delivery drivers.
Part time Overnight Desk Manager Marriott International IncPart time Overnight Desk ManagerOrlando, FLUtilizes interpersonal and communication skills to lead, influence, and encourage others; advocates sound financial/business decision making; demonstrates honesty/integrity; leads by example. 2-year degree from an accredited university in Hotel and Restaurant Management, Hospitality, Business Administration, or related major; no work experience required.
Replenishment Manager The Michaels Companies IncReplenishment ManagerAltamonte Springs, FLPublic retail store setting taking care of our customers; all public areas are climate controlled; some stock rooms may not be climate controlled; some outdoor work if assigned to retrieve shopping carts or while unloading trucks; Frame shop contains glass cutter and heat press; work hours include nights, weekends and early mornings. Ability to remain standing for long periods of time Ability to move throughout the store Regular bending, lifting, carrying, reaching and stretching Lifting heavy boxes and accessing high shelves by ladder or similar equipment.
Assistant Manager of Affordable Housing Community Carteret Management CorpAssistant Manager of Affordable Housing CommunityOrlando, FLOperations: Assist in oversight of community, including marketing & leasing, monitoring work orders, handling resident concerns or issues, working closely with resident through the recertification process, collect and enter rental payments, manage waiting list and applications. Carteret Management Corporation is seeking an ASSISTANT MANAGER who will assist the Manager with the oversight of Fairlawn Village, an affordable housing community located in Orlando, FL.
Pediatric Case Manager RN Actalent IncPediatric Case Manager RNOrlando, FL$40–$44 / hourThe Pediatric Case Manager - Population Health & Concierge Care Coordination (Care Coordinator, RN) plays a critical role in managing complex and chronic conditions across a pediatric population within a managed care environment. This position partners closely with providers, hospitals, and multidisciplinary teams to coordinate care, close gaps in services, and improve health outcomes while reducing avoidable utilization.
Restaurant and Bakery Service Manager K&R InvescoRestaurant and Bakery Service ManagerWinter Springs, FloridaWith its diverse, moderately priced menu featuring breakfast, lunch, dinner, and bakery offerings, and its attractive and recently remodeled restaurants designed to facilitate efficiency and guest satisfaction, Perkins Restaurant & Bakery is a dining favorite with a solid and respected reputation in the marketplace. Conducts employment activities to include staffing (hire/term responsibilities), training, and conducting performance reviews with all dining room personnel, as well as recommending salary increases and issuing employee work histories.
NewSales Account Manager UlineSales Account ManagerOrlando, FLUline, a name millions of businesses across North America know and trust, is looking for an experienced Sales Account Manager to build our growing Melbourne, Florida market. Uline, a family-owned company, is North America’s leading distributor of shipping, industrial, and packaging materials with over 9,800 employees across 14 locations and 17 sales offices.
Restaurant and Bakery Kitchen Manager K&R InvescoRestaurant and Bakery Kitchen ManagerWinter Springs, FloridaWith its diverse, moderately priced menu featuring breakfast, lunch, dinner, and bakery offerings, and its attractive and recently remodeled restaurants designed to facilitate efficiency and guest satisfaction, Perkins Restaurant & Bakery is a dining favorite with a solid and respected reputation in the marketplace. Conducts employee activities to include staffing, training and conducting performance reviews with all kitchen personnel, as well as recommending salary increases and issuing employee work counseling.
NewRemote Pediatric Case Manager RN Actalent IncRemote Pediatric Case Manager RNOrlando, FL$40–$44 / hourThe Pediatric Case Manager - Population Health & Concierge Care Coordination (Care Coordinator, RN) plays a critical role in managing complex and chronic conditions across a pediatric population within a managed care environment. This position partners closely with providers, hospitals, and multidisciplinary teams to coordinate care, close gaps in services, and improve health outcomes while reducing avoidable utilization.
Project Manager Jacobs Solutions IncProject ManagerOrlando, FLConshohocken, Pennsylvania, United States | 42683 | Advanced Manufacturing | Drafting and Design | Multiple Locations. Wiodcy projektant / wiodca projektant sieci wod-kan - projekty advanced facilities: semiconductors.
Senior Project Manager Property Insight.Senior Project ManagerMaitland, FloridaProjects are typically IT, data and development focused but may also include finance/accounting, business planning, business operations, customer service, or other non-technical subjects and require extensive interactions with cross-functional teams of various functional areas of the business and vendors. From investments in title and escrow software to industry-leading real estate partner solutions, we take our commitment to provide real estate professionals and consumers with a truly reimagined, transparent, connected, and trusted real estate experience to heart.
NewClinical Assistant Nurse Manager - MS PCU 8C Orlando Health Ventures l LLCClinical Assistant Nurse Manager - MS PCU 8COrlando, FLIf you are looking to grow your leadership skills while continuing to make a difference in the lives of patients and families, we invite you to join a collaborative team committed to excellence, innovation, and compassionate care. Leadership • Supports strategic imperatives by attending leadership huddles, assisting in new nursing/clinical initiatives, and fostering positive multidisciplinary partnerships through collegial collaboration.
Construction Manager Sunshine Enterprise USAConstruction ManagerDeLand, FloridaMinimum Requirements: A Bachelor’s degree in Business Administration, Public Administration, Construction Management, Project Management, Facility Management, or closely related field and three (3) years of hands-on experience in an administrative management position. The preferred candidate, having met the minimum requirements, will have a Bachelor’s degree in Construction Management, Facility Management, or Project Management and (5) years of experience in managing multiple construction projects for a large organization.
Receiving Manager W.W. Gay Mechanical ContractorReceiving ManagerOrlando, FloridaWhat Sets Us Apart • 24/7 HVAC and Plumbing Service• Licensed in multiple states• Financial stability and bonding capabilities of $100 million single project/$350 million aggregate • Leadership within 9 office locations throughout Florida and Georgia • Yearly Service Agreements and Preventative Maintenance• Fleet of over 400 vehicles company-wide • Crane and Construction Equipment (bare and operated) At W.W. This role ensures theaccurate and timely receipt of goods, maintains inventory records, resolves discrepancies, and coordinateswith vendors and internal teams.
Mgr Regional Business UL Canon USA & AffiliatesMgr Regional Business ULOrlando, FLRemoteServe as a liaison between regional sales employees and the marketing business unit, including coordinating activities of the zone sales team, reporting modality business trends, and deploying competitive information for strategy development. + Engage in prospecting activities to position Canon for advantageous opportunities within the modality and for cross-modality sales; Participate in activities that support a growing presence in the market through local/regional/national tradeshows.
Operations Manager BrightView Holdings IncOperations ManagerOrlando, FLReporting and Performance Metrics: Track and report KPIs to track operational performance, report operational challenges to the Branch Manager daily, leverage company systems and tools such as BrightPath, Power BI, Leadr, Field Management Systems, and Estimating (CPQ) to inform data-driven decisions and drive continuous improvement. Collaboration and Communication: Partner with internal branch departments (Office Admin, Operations, Sales, Account Management) and external vendors/clients to support smooth operations and communicate/execute operational excellence strategies in partnership with the Director of Operations.
Operations Manager BrightViewOperations ManagerSanford, FLReporting and Performance Metrics: Track and report KPIs to track operational performance, report operational challenges to the Branch Manager daily, leverage company systems and tools such as BrightPath, Power BI, Leadr, Field Management Systems, and Estimating (CPQ) to inform data-driven decisions and drive continuous improvement. + Collaboration and Communication: Partner with internal branch departments (Office Admin, Operations, Sales, Account Management) and external vendors/clients to support smooth operations and communicate/execute operational excellence strategies in partnership with the Director of Operations.
Operations Manager - Tree BrightView Holdings IncOperations Manager - TreeOrlando, FLReporting and Performance Metrics: Track and report KPIs to track operational performance, report operational challenges to the Branch Manager daily, leverage company systems and tools such as BrightPath, Power BI, Leadr, Field Management Systems, and Estimating (CPQ) to inform data-driven decisions and drive continuous improvement. Collaboration and Communication: Partner with internal branch departments (Office Admin, Operations, Sales, Account Management) and external vendors/clients to support smooth operations and communicate/execute operational excellence strategies in partnership with the Director of Operations.
NewFront Office Manager Marriott International IncFront Office ManagerFL2-year degree from an accredited university in Hotel and Restaurant Management, Hospitality, Business Administration or related major; 2 years experience in the guest services, front desk, or related professional area. Utilizes interpersonal and communication skills to lead, influence, and encourage others; advocates sound financial/business decision making; demonstrates honesty/integrity; leads by example.
Manager, Payroll Operations Seminole State College Of FloridaManager, Payroll OperationsSanford, FLTO ATTACH ADDITIONAL DOCUMENTS: From the Seminole State College Home page, scroll to the bottom and click on EmploymentClick on Complete or Review an Existing ApplicationSelect either Sign In with existing username and password or New User to create an account Click on My Job Applications to view applied jobs, resumes and attachmentsClick on the + under My Cover Letters and Attachments to attach documents. In addition, the College offers an attractive benefits package including: Flexible work options with a 37.5 hour work week and generous paid time off (holidays, annual and sick leave, and College Breaks)A variety of paid health and life insurance coveragesWellness incentives and free gym membership at the Raider Fitness CenterFRS retirement and other optionsProfessional Development and Paid TuitionFree on campus parking.
Body Shop Manager Asbury AutomotiveBody Shop ManagerKissimmee, FLAdditional advantages: Technician Student loan relief resourcesEmployee assistance programEmployee discounts on parts and service repairsScholarship awardsOpportunities to join our community service initiatives, which includes paid volunteer hoursEmployee referral program with bonus opportunities. Proficient in Microsoft Office applicationsDegree in automotive technology, collision repair or military equivalent experienceMust be at least eighteen years of ageMust have a valid Driver's LicenseMust be able to pass pre-employment screen (background & drug test).
Operations Manager VivoAquatics, Inc.Operations ManagerOrlando, FLClient & Account Management Serve as the primary operational contact for key clients including hotels, resorts, multifamily properties, and commercial facilities Conduct property walkthroughs and operational reviews with engineering and facility teams Maintain strong relationships with property managers, engineers, and ownership groups Ensure client satisfaction and long-term retention. Account Growth & Upselling Identify opportunities to improve client aquatic operations through: Automation systems Chemical dosing systems Monitoring platforms Equipment upgrades Expanded service programs Work with leadership to develop proposals and service expansions Support the growth of existing accounts by delivering value and operational expertise.
NewMedical Case Manager FCCI Insurance GroupMedical Case ManagerLake Mary, FL$62,419–$96,126 / yearIn addition, this person will develop an initial plan outlining the action the case manager will take to ensure timely resolution of injury(s) through utilization of established guidelines to determine appropriate medical treatment, evaluate medical necessity in conjunction with the adjuster, and monitor progress/response to treatment. These are the principles and behaviors that guide how we support and trust one another, build our teams, cultivate leaders and create a company that feels like family.
permitting-project-manager-environmental-services-multiple-locations Burns & McDonnellpermitting-project-manager-environmental-services-multiple-locationsOrlando, FLParticipate in business development activities including the development of proposals and cost estimates for new projects, development of and participation in client-facing presentations, and manage existing relationships with existing clients while contributing to the expansion of our growing southeast region business. B.S. or M.S. in environmental science, environmental planning, or environmental/civil engineering preferred with at least 7 years (10 years preferred) of applicable experience successfully executing and managing various environmental permitting projects in the southeast region.
Clinical Assistant Nurse Manager - MS PCU 8C Orlando HealthClinical Assistant Nurse Manager - MS PCU 8COrlando, FloridaIf you are looking to grow your leadership skills while continuing to make a difference in the lives of patients and families, we invite you to join a collaborative team committed to excellence, innovation, and compassionate care. In partnership with Nursing Leadership, you will help oversee shift operations, support staff development, coordinate patient flow, and drive quality outcomes, all while maintaining a clinical presence at the bedside.
Senior Security Manager, Industrial Security Operations V2X IncSenior Security Manager, Industrial Security OperationsOrlando, FL$135,000–$190,000 / yearThe position drives enterprise security awareness programs and reporting for the V2X Insider Threat Program (ITP); ensures NISP compliance across collateral and special access program (SAP) and Sensitive Compartmented Information (SCI) environments; oversees facility clearance and CAGE code management; and, administers related operational and program security arrangements. In this capacity, the position directly supervises Facility Security Officers (FSOs) and Assistant Facility Security Officers (AFSOs) across all V2X locations, providing leadership, guidance, and oversight to ensure consistent and compliant security operations.
Human Resources Manager (On-site) Charter Communications IncHuman Resources Manager (On-site)Maitland, FLAs a Manager, Human Resources at Spectrum, you'll combine HR mastery and industry knowledge to evaluate and resolve complex issues in a fast paced environment. Beyond our connectivity solutions, we also provide local news, programming and regional sports via Spectrum Networks and multiscreen advertising solutions via Spectrum Reach.
Electrical Project Manager/Estimator- Industrial/Commercial Universal Electrical Service, Inc.Electrical Project Manager/Estimator- Industrial/CommercialSanford, FLFull timeThe Project Manager/Electrical Estimator will be responsible for preparing accurate and competitive cost estimates for commercial and industrial electrical construction projects. Universal Electrical Service, Inc. is seeking a detail-oriented and highly organized Electrical Project Manager/Estimator to join our growing team in Sanford, FL.
Project Manager, Industrial Water Black & Veatch Holding CoProject Manager, Industrial WaterOrlando, FLOur Industrial Water solution delivers lifecycle water, wastewater, and stormwater proejcts helping heavy commercial and industrial clients have the water they need at the right cost, whenever and wherever its needed. Black & Veatch's Governments & Communities focuses on specific infrastructure needs of municipalities, state and local governments, and specialized physical and digital infrastructure solutions for government and federal agencies.
Account Manager (Commercial Landscaping) LandCareAccount Manager (Commercial Landscaping)Orlando, FLThis position is a high-impact role, working closely with the Branch Manager, Production Manager, and production teams to create and maintain meaningful client relationships. Participate in, organize, and lead networking events to foster relationships with potential and existing customers as both a leader in the industry and a representative of LandCare.
Sr Mgr, Tax Contrvrsy & Proced BDO International LtdSr Mgr, Tax Contrvrsy & ProcedOrlando, FL$150,000–$250,000 / yearJob Summary: The Senior Manager of Tax Controversy and Procedure (TCP) provides technical support to firm client service professionals and clients on matters involving US federal taxation, particularly in the areas of IRS practice and procedure and tax controversy. The Senior Manager of Tax Controversy and Procedure applies knowledge and experience in procedural matters to assist clients with resolution of IRS account issues, mitigation of IRS penalty assessment and interest accrual, and other IRS procedural matters.
Field Training Manager The Steak n Shake CompanyField Training ManagerOrlando, FLField Training Manager Steak 'n Shake | Franchisee Position Overview Steak 'n Shake is seeking a high-impact Field Training Manager (FTM) to elevate performance across franchisee restaurants. This position serves as a direct bench for Franchise Business Advisor and other operations or training leadership roles - offering strong career growth for ambitious leaders ready to make an impact.
Sr Mgr, Tax Contrvrsy & Proced BDO USA PCSr Mgr, Tax Contrvrsy & ProcedOrlando, FL$150,000–$250,000 / yearJob Summary: The Senior Manager of Tax Controversy and Procedure (TCP) provides technical support to firm client service professionals and clients on matters involving US federal taxation, particularly in the areas of IRS practice and procedure and tax controversy. The Senior Manager of Tax Controversy and Procedure applies knowledge and experience in procedural matters to assist clients with resolution of IRS account issues, mitigation of IRS penalty assessment and interest accrual, and other IRS procedural matters.
NewRetail Store Manager - Orlando Nestle SARetail Store Manager - OrlandoOrlando, FLADDITIONAL PREFERRED QUALIFICATIONS: Experience supervising 20+ employees in a high-volume, luxury retail environment Ability to run weekly manager meetings, oversee KPIs, coach performance, and delegate effectively Genuine passion for people: you enjoy engaging with customers and mentoring your employees You care about the customer experience; you are a gracious host, and you exude hospitality Guests know you by name and seek you out because of the service and experience you provide Strong business acumen with ability to drive teams to achieve revenue goals and continuously improve Demonstrated success developing bench strength and future leaders High collaboration and presence; a natural at building rapport with customers and businesses Strong hospitality mindset aligned with Nespresso's House of Hospitality Agility and patience with learning new systems, software programs, and reporting methods. WHAT YOU WILL BRING: 4+ years of experience in fast-paced or luxury retail 3+ years of supervisory experience High School Diploma or GED required; bachelor''s degree preferred Strong time management and prioritization skills Genuine enthusiasm for coffee, a strong appreciation for sustainability, and a desire to continuously learn and share our coffee culture with others.
project-manager-operational-technology-services-1898-co Burns & McDonnellproject-manager-operational-technology-services-1898-coOrlando, FLMinimum 5 years of experience providing Project or Program Management with at least 2 years focused on operational technology projects or programs, including the ability to demonstrate having worked on multiple large projects or programs. Description At 1898 & Co., a division of Burns & McDonnell, our Enterprise Systems Integration (ESI) team partners with clients to modernize and integrate critical Operational Technology (OT) systems across industrial utility and infrastructure environments.
Senior Manager - Facilities Maintenance LynxSenior Manager - Facilities MaintenanceOrlando, FLPlans, coordinates, supervises, and evaluates the work of assigned staff; administers work assignments and monitors deadlines, meets with staff regularly to identify and resolve problems; monitors staff adherence to departmental policies, as well as state and federal rules and regulations, develops and implements internal controls to ensure that all division policies and procedures are adhered to, counsels employees to correct deficiencies and takes corrective action as necessary, interprets and applies all pertinent provisions of the Collective Bargaining Agreements and participates in the disciplinary process including conducting investigations. Assists in the development and preparation of the division's operating and capital budgets; identifies and recommends budgetary requirements including personnel and materials to ensure sufficient resources to provide safe and reliable bus service; monitors expenditures in accordance with financial guidelines to ensure budgetary controls and efficient operations; creates requisitions and processes invoices for facilities-related materials, supplies, and services.
Senior Project Engineering Manager - Substation Black & Veatch Holding CoSenior Project Engineering Manager - SubstationOrlando, FLOur Technology, Commercial & Industrial Team has specialized capabilities focused on the latest needs for clients in a fast-growth technology-led arena of advanced manufacturing, and generative AI computing including gigafactories, bio/ag tech, data centers and distributed infrastructure. Experience in design of substation facilities with strong understanding of overall project lifecycle, layout design and optimization, relay protection & control, civil/structural designs, and technical knowledge of major equipment associated with substation facilities.
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NewCase Manager Assistant / LPN (Bilingual) MedWatchCase Manager Assistant / LPN (Bilingual)Lake Mary, FLFull timeLicensure/Certification Requirements: Licensed Practical Nurse or Medical Assistant/Nursing Assistant Certification (current active and unrestricted, in current state of practice and residence, within the United States or its territories). 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.
NewCase Manager Assistant / LPN MedWatchCase Manager Assistant / LPNLake Mary, FLFull timeLicensed Practical Nurse or Medical Assistant/Nursing Assistant Certification (current active and unrestricted, in current state of practice and residence, within the United States or its territories) Education, Training and Professional Competencies: Licensed Practical Nursing Education preferred. 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.
NewCase Manager / RN (Licensed in all 50 states) MedWatchCase Manager / RN (Licensed in all 50 states)Lake Mary, FLRemoteFull timeThe 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.
NewCase Manager / RN MedWatchCase Manager / RNLake Mary, FLRemoteFull timeThe 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.