- Cardinal Health (Tallahassee, FL)
- …laws and regulations, (eg, Stark, Corporate Practice of Medicine, Anti-Kickback, False Claims Act, and HIPAA); and Marketing and Advertising + Proactively identify ... and assesses business and legal risks + Demonstrate excellent communication skills and ability to provide business clients with clear and precise guidance on business, compliance, and legal risks + Develop and conduct legal training for business clients + Seek… more
- Sumitomo Pharma (Tallahassee, FL)
- …submissions by preparing responses to agency inquiries and contributing to labeling claims . + Review Case Report Forms (CRFs) to ensure data collection aligns ... with protocol-defined analyses. + Develop data presentation plans and design Table, Listing, and Figure (TFL) shells. + Provide guidance to statistical programmers on SDTM/ADaM datasets and TLF specifications. + Perform programming validation for key derived… more
- Molina Healthcare (FL)
- …& ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed ... healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for service, capitation and various forms of risk, ASO, etc. **PREFERRED EDUCATION** : Bachelor's Degree in a related… more
- Cardinal Health (Tallahassee, FL)
- …laws including, Antitrust; healthcare laws and regulations, (eg, Anti-Kickback, False Claims Act, and HIPAA); and Marketing and Advertising + Demonstrate excellent ... communication skills and ability to provide business clients with clear and precise guidance on business, compliance, and legal risks + Develop and conduct legal training for business clients + Understand complex legal, compliance and business situations and… more
- Molina Healthcare (St. Petersburg, FL)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... **Knowledge/Skills/Abilities** + Has direct oversight of enrollment, premium billing and reconciliation processes and all related staff + Coaches and mentors direct staff, including goal setting and score card development + Monitors and enforces compliance… more
- Meta (Tallahassee, FL)
- …on prescription wearer and channel needs and mindsets 8. Manage prescription product claims , content, and pricing in B2C and B2B contexts, and for wearers with ... and without insurance **Minimum Qualifications:** Minimum Qualifications: 9. 7+ years of experience in product marketing, product management, management consulting, business strategy in vision correction and/or eye health fields 10. In-depth knowledge of… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more
- Three Saints Bay (Panama City, FL)
- …of one of the following disciplines: Military Pay, Military Personnel, Travel Claims , or Navy Transportation. Substitutions for HR background can be from similar ... experience gained in either the private sector or other Federal Agencies. . Ability to obtain and maintain qualifications to access and manage information up to and including the Controlled Unclassified Information (CUI) level. VEVRAA Federal Contractor Three… more
- Suddath (Jacksonville, FL)
- …be available as needed. + Coordinate with the Quality Assurance Manager and Claims Manager in the areas of training, continuous improvement, and corrective action + ... Maintain adequate inventories of material and supplies to avoid service failures due to out of stock items. + Maintain rolling stock, material handling equipment, and moving equipment to eliminate service failures whether from breakdown or unavailability +… more
- Molina Healthcare (Orlando, FL)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines ... to support ongoing reporting and analytics workflows. + Utilize Databricks and Snowflake to develop scalable data pipelines and analytical datasets. + Create and maintain Power BI dashboards to deliver insights on utilization, outcomes, and cost drivers across… more