366 Utilization Manager jobs in Jacksonville,FL

Manager, Hospital Health Plan Provider Contracts (Florida)

Molina Healthcare

Jacksonville, FL 32235

$80,412-$156,803/yr

OnsiteUrgently HiringHealth Insurance

At least 7 years of experience in network contracting with large specialty or multispecialty provider groups, and at least 4 years experience in provider contract negotiations in a managed health care setting ideally negotiating different provider contract types (i.e. physician/group/hospital), or equivalent combination of relevant education and experience.
At least 1 year of management/leadership experience.
Experience with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to: value-based payment (VBP), fee-for service (FFS), capitation and various forms of risk, etc.
Strong negotiation and relationship building capabilities.
Ability to navigate complex regulatory environments.
Strong organizational skills and attention to detail.
Data-driven decision-making skills, and analytical abilities.
Ability to work cross-functionally with internal/external stakeholders in a highly matrixed organization.
Strong ability to manage multiple tasks and deadlines effectively.
Strong verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.

SmartExplore AI is experimental.

New, Posted 4 hours ago

Culinary Agents

Bakery Team Leader (Department Manager)

Whole Foods Market - Jacksonville

Jacksonville, FL 32257

$22.40-$40.40/hr

Flexible Schedule

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Auto Assistant Service Manager

Ron Anderson Chevrolet Buick Gmc

Yulee, FL 32097

New, Posted 13 hours ago

Store Operations Assistant

ALDI

Fernandina Beach, FL 32034

$18.50/hr

New, Posted 5 hours ago

Easy Apply

Customer Service Manager (Remote)

Hire Standard Staffing

Jacksonville, FL

$120,000/yr

RemoteHealth Insurance

Must be a U.S. or Canadian citizen.
Comfortable using Zoom and other online communication tools.
No prior insurance experience is required — only a strong drive to succeed and a willingness to learn.

SmartExplore AI is experimental.

New, Posted 15 hours ago

Recommended

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Customer Experience Advocate I (Jacksonville, FL)

Amerigas

Jacksonville, FL 32202

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Surgical Technologist - Operating Room - ST

Mayo Clinic

Jacksonville, FL 32210

Onsite

Graduation from an accredited or military surgical technology program.
Certification in Surgical Technology from the National Board of Surgical Technology and Surgical Assisting (NBSTSA) required within one year of hire date and maintained thereafter.
Maintains Basic Life Support (BLS) competency.
Current BLS certification required upon hire.
Certification through NBSTSA required within one year of hire date.

SmartExplore AI is experimental.

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Electrical Sales Account Executive

Upchurch

Jacksonville, FL

New, Posted 3 hours ago

Assistant Store Manager

Staples, Inc. Careers

Jacksonville, FL 32210

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KFC Shift Supervisor - $100 Referral Bonus

DE Foods (KFC)

Middleburg, FL 32068

Driver License

~ 40 min Onsite

At least 18 years old
With a valid driver's license
Reliable transportation (not public transportation – you may need to drive to make deposits for the restaurant sometimes)

SmartExplore AI is experimental.