- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Prime Therapeutics (Tallahassee, FL)
- …to be a part of our JUDI Team.** **The first role will be focused on Claims Compare - analyzing data to identify key points. Our second role will focus on ... platforms and products + Experience using queries, thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly… more
- Robert Half Accountemps (Orlando, FL)
- …this role, you will play a vital part in managing medical billing, claims , and collections processes for healthcare services. This is a long-term contract position ... * Handle medical billing tasks to ensure accurate and timely processing of claims . * Manage collections processes, including following up on overdue accounts and… more
- Norstella (Tallahassee, FL)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable insights and drive… more
- USAA (Tampa, FL)
- …documentation may result in disqualification.** + Experience leading $1B+ Claims transformation programs. + Demonstrated experience managing programs with ... business needs into technical specifications. + Recent experience supporting Claims in a Program Management role. + PMP, Agile...role. + PMP, Agile and Change Management Certification. + Claims experience. + Proficient in Box, Rally, Clarity and… more
- MyFlorida (Tallahassee, FL)
- …correspondence regarding the hiring process for this ad. TITLE: CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION LOCATION: ... Social Security Disability Insurance, Supplemental Security Income and/or Medically Needy disability claims filed in the State of Florida. Training is provided on… more
- USAA (Tampa, FL)
- …for consultation on and programming of instructions and alerts within the Claims Center (Guidewire) and Training Environments. These alerts will be programmed within ... apart:** + 2 years of experience adjusting or managing Claims within Guidewire. + 2 years of experience programming...2 years of experience adjusting and/or leading in aP&C Claims environment. + US military experience through military service… more
- Jacobs (Fort Lauderdale, FL)
- …input in pricing disputes with prime contractors and subconsultants. * Proactively manage claims and risks, initiate claims , dispute resolution, and respond to ... claims notifications. * Interface with the AD lead and Operations. * 10+ years' experience in commercial leadership of large infrastructure projects and/or programs, including Engineering, Design-Build, P3, project management, construction, project… more
- Elevance Health (Miami, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit … more
- Walmart (Coral Springs, FL)
- …area in accordance with company policies and procedures by properly handling claims and returns utilizing equipment to perform a variety of merchandising functions ... fulfillment process when necessary by processing information for thirdparty insurance claims rescanning illegible images alerting patients to inventory that is out… more