- AdventHealth (Altamonte Springs, FL)
- …Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance related to inpatient care, outpatient ... denial management by reviewing and making recommendations on appealed provider claims and makes determinations for appeals and grievances from patients; assists… more
- Humana (Tallahassee, FL)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Associate Director , Field Strategy, Nephrology/Immunology** **Position overview:** The **Associate Director , Field Strategy** plays a critical role in enabling ... + Minimum of 7 years of pharmaceutical experience + Prior experience in field leadership roles such as first...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …than they thought was possible each and every day. **Position Overview:** The Director of Field Strategy and Operations serves as the orchestrator of field strategy, ... dashboards and data-driven insights, supporting execution excellence and performance tracking. The Director will be the point of contacts for ad hoc analytics… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the ... on the large global clinical trials and regulatory filing activities. The Senior Director , GCD is responsible for all the clinical development activities for the… more
- Humana (Tallahassee, FL)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Associate Director , Small Molecule Analytical Development** + Lead and oversee phase appropriate method development and optimization for drug substance and drug ... Experience must include time in a GMP environment. + Prior experience overseeing and working with external manufacturing and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- The Cigna Group (Tallahassee, FL)
- **Position Summary** The Supplemental Health National Sales Director (NSD) will be responsible for driving new business sales for Supplemental Health products in ... Internal capabilities and external options + Administrative solutions: Billing and claim processes The NSD role is responsible for proactive and consultative… more
- Evolent (Tallahassee, FL)
- …the mission. Stay for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools to solve complex ... public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …Up to 30% travel is required*, based upon business needs. Preferred + Prior experience with successfully launching a brand + Experience within the ADHD space ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more