- Evolent (Tallahassee, FL)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... articulating our value. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- Akumin (FL)
- …The **Medical Collector** contacts payers for status of payment of outstanding claims , including commercial and government carriers, and patient liabilities in the ... appropriate time frame. Responsible for rebilling of all claims as needed, including correction of missing/inaccurate data, and appeals of denied claims with… more
- EMCOR Group (Jacksonville, FL)
- **About Us** We design, install, and maintain advanced electrical systems . Our expertise spans traditional electrical contracting, security solutions, audio-visual ... integration, wireless networking, and building management systems . **Job Summary** We are looking for an analytical and proactive Fleet Operations Specialist to… more
- Sedgwick (Tampa, FL)
- …information and triage as necessary. + Enters demographics and UR information into claims or clinical management system ; maintains data integrity. + Obtains all ... : To assign utilization review requests; to verify and enter data in appropriate system (s); and to provide general support to clinical staff in a team environment.… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …drives governance, technology enablement, and process optimization for training systems and programs across GxP and non-GxP functions. **Key Responsibilities:** ... for training operations during regulatory inspections and internal audits. **Training Systems & Technology Enablement** + Oversee the administration and optimization… more
- Zurich NA (Maitland, FL)
- …General Liability and Commercial Auto personal injury cases. At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims...use video conferencing, task assignments and other computer based systems . Basic Qualifications: + Juris Doctor and 7 or… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …management, medical, patient access and market access to engage local healthcare systems and identify opportunities to improve the patient experience. Through this ... strong understanding of evolving healthcare trends, disease state, Otsuka products, systems , and services across the ecosystem landscape, including KIs, LPLs, Key… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …both Field Medical and Headquarters teams to understand business needs and system requirements, support development of analytical solutions and other projects to ... Ensure accuracy, integrity, and compliance of data within medical systems (eg, Veeva CRM, publication databases, analytics platforms). +...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Zurich NA (Tallahassee, FL)
- …and in Crop insurance, Mobile apps, GIS mapping development, and systems integration You will lead cross-functional transformation initiatives, support operational ... technology + Identify opportunities to optimize our business model, systems , tools, and service delivery. + Partner with Product,...and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR *… more
- Stantec (Orlando, FL)
- …Stantec's policies and procedures. - Selection and implementation of Project Management systems to meet the commercial and design management requirements of the ... Project. System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of… more