UNKNOWN

FEED

Ideal candidates for this category have previous experience, one or more of the following: Intelligence analysis and reporting using various cyber intelligence models and frameworks is also desired OT security sensor/tool deployment, OT networks, systems, and devices and how convergence, integration, and digitalization impact the OT attack surface throughout multiple industries OT security program/governance development. We hire the very best security talent and arm them with the coolest tools and latest tech so they can help our clients build resilience as we create integrated, customized turnkey solutions.

Accenture Plc

OT Transformation Security Manager (Remote)

FULL_TIME

As a key member of our Claims Adjuster team, you will: Investigate, evaluate, and resolve complex General Liability Restaurant claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution. How you'll make an impact : Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and appropriately resolve claims.

<p>Gallagher, a global insurance brokerage and risk management services firm, helps clients address risk, protect assets and recover from losses. The products and services we provide keep businesses and institutions running, and enable individuals and families to rebuild their lives. Gallagher is the only insurance broker recognized by the Ethisphere Institute as a World's Most Ethical Company.
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Gallagher provides retail and wholesale property and casualty brokerage, alternative risk transfer services, employee benefit consulting, and actuarial services. Gallagher also offers claims and information management, risk control consulting and appraisal services, human resource consulting, and retirement services.
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Gallagher

Senior Claims Adjuster - General Liability

[AW]-iCims

Through these recurring visits, Belle helps identify emerging health issues earlier, connects members to Chronic Care Management, and extends the reach of our clinical team through AI-powered telehealth and care coordination. Our Community Health Workers, each a licensed nail technician, provide in-home preventive foot care that builds trusted relationships and opens the door to better health above the knee.

Belle, LLC

Telehealth Physician- M-F, No On Call, No Weekends

ea_via_bold

Marketing and Branding Support: Call and Close Compliant provided leads while also creating your own referral network with Realtors, Builders, Investors, etc. GET PAID: Multiple flexible pay plans for discussion - New Loan Officers - Get Paid AT FUNDING while you build your pipeline - Receive a commission check FAST.

TrueFinancial

Licensed Loan Officer - REMOTE - Tampa, Florida

Manatal

MedAtlantic Healthcare Solutions is actively recruiting for a client teleradiology group seeking 1099 contractors with strong experience in MSK interpretation . Are you a board-eligible or board-certified radiologist interested in a highly flexible remote opportunity to read outpatient MSK and earn reliable supplemental income on your own schedule?.

MedAtlantic Healthcare Solutions

Musculoskeletal Radiologist - Remote - Teleradiology (Read-When-You-Want)

This role will engage deeply with subject matter expertise in SAP SuccessFactors Employee Central Time Off, fostering an environment where collaboration and thoughtful decision-making drive success. We've got over 70 SAP awards-more than any other partner-and we're the leading business partner for SAP SuccessFactors, SAP Ariba, SAP Hybris, SAP FieldGlass, SAP Concur, and more.

SAP Employee Central/Time Manager

OTHER

Ensures accuracy and completion of authorization data from customer information, medical records, referral/authorization forms, Military Treatment Facility electronic transmission and other documents into medical management system. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

TriWest Healthcare Alliance

Senior Referral Specialist

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If you thrive in fast-paced environments, enjoy owning projects end-to-end, and take pride in delivering work that customers see in the real world every day, this role was built for you. For certain roles, including those designated as safety-sensitive or regulated positions, employment may also be contingent upon successful completion of a pre-employment drug screening and/or other regulatory requirements.

YEAR

Stratus Unlimited

Project Manager, Exterior Signage

Applying knowledge of contract types-such as firm-fixed price, firm-fixed price with economic price adjustments, and cost-reimbursement-and acquisition methods including simplified acquisitions, sealed bidding, negotiations, cost sharing, multiple awards, commercial items, and special provisions. Assists the Acquisition Team Supervisors in coordinating contracting activities, performs contract reviews and provides guidance regarding complex contracts administered by other contract specialists, identifies special training needs, and conducts mentoring and contract training.

U.S. Department of Veterans Affairs

Contract Specialist

Lead Referral Specialist

Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. The position collaborates to ensure relevant analysis and complete, timely reporting is provided to meet TriWest business needs and Government's Healthcare requirements.

Business Analyst Sr

Develops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.

Provider Program Manager

Referral Specialist

In support of TRICARE beneficiaries enrolled in the Autism Care Demonstration (ACD), the Autism Services Navigator (ASN) collaborates and oversees the assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services for TRICARE beneficiaries diagnosed with autism spectrum disorder (ASD). • Current unrestricted licensure in an appropriate state or territory of the United States, as a Licensed Independent Clinical Social Worker (LICSW), Licensed Clinical Social Worker (LCSW), Registered Nurse, or other licensed mental health professionals who possess a Certification in Case Management (CCM).

Autism Services Navigator

Orders/receives medical records for Potential Quality Issues (PQI and CQM Department activities according to desk procedures, conducts follow-up telephone calls to providers, and completes other processes to resolve missing documents. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.

Clinical Quality Support Specialist

Technical Skills: Knowledge of TRICARE program and benefits; managed care program concepts and health care delivery processes; management reporting tools and medical management systems; legal, regulatory requirements, and HIPAA privacy regulations. Under the direction of the Director of Referral Management, the Manager will lead and guide non-clinical staff in processes that maintain accuracy, efficiency, and timeliness for all network and military referral requests.

Manager, Referral Management

Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. This role spans many specialties such as Nutrition, Exercise Physiology, Clinical/Nursing, Respiratory Therapy, Counseling and Pharmacy and will spend time addressing individual health and lifestyle concerns of our beneficiaries.

Health Coach

Technical Skills: Thorough knowledge of TRICARE policies and procedures, data collection and reporting, TriWest Care Radius medical management systems, and Referral Management Specialists function. • Two or more years of supervisory experience Managed care and operational experience in medical management systems, including referral management/prior authorization, or utilization management.

Supervisor, Referral Management

Technical Skills: Knowledge of TRICARE policies and procedures, Case Management, Utilization Management, Managed Care concepts, Behavioral Health practices and principles, Medicaid and Medicare eligibility requirements and benefits, community resources, alternative funding programs, medical management systems, and protected health information; proficiency with the use of medical necessity criteria to evaluate care requests; working knowledge of medical coding. Problem Solving / Analysis: Thorough knowledge of health care delivery, UM, CM, managed care concepts, management reporting tools, and medical management systems; ability to perform critical, in-depth analysis of medical records for appropriateness and level-of-care determinations.

Manager, Case Management Special Programs

Performs clinical research necessary to establish evidence-based clinical content guidelines, uses technical and medical writing capabilities to create content to support targeted population campaigns, population wellness portals and activity, support accreditation and contractual requirements, beneficiary educational and other work as needed. • Supports Medical Management projects and non-clinical resources such as project managers as a subject matter expert in evidence-based clinical criteria for building assessments, care plans, interventions and other clinically-based tools and programs.

Remote Jobs in Clearwater, FL

OT Transformation Security Manager (Remote) Accenture Plc

Senior Claims Adjuster - General Liability Gallagher

Telehealth Physician- M-F, No On Call, No Weekends Belle, LLC

Licensed Loan Officer - REMOTE - Tampa, Florida TrueFinancial

Musculoskeletal Radiologist - Remote - Teleradiology (Read-When-You-Want) MedAtlantic Healthcare Solutions

SAP Employee Central/Time Manager Accenture Plc

Senior Referral Specialist TriWest Healthcare Alliance

Project Manager, Exterior Signage Stratus Unlimited

Contract Specialist U.S. Department of Veterans Affairs

Lead Referral Specialist TriWest Healthcare Alliance

Business Analyst Sr TriWest Healthcare Alliance

Provider Program Manager TriWest Healthcare Alliance

Referral Specialist TriWest Healthcare Alliance

Autism Services Navigator TriWest Healthcare Alliance

Clinical Quality Support Specialist TriWest Healthcare Alliance

Manager, Referral Management TriWest Healthcare Alliance

Health Coach TriWest Healthcare Alliance

Supervisor, Referral Management TriWest Healthcare Alliance

Manager, Case Management Special Programs TriWest Healthcare Alliance

PH Communications Specialist TriWest Healthcare Alliance

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