- NASCO (Tallahassee, FL)
- …to deliver data-driven SaaS solutions that enhance healthcare payer operations , risk management, and member engagement. **Responsibilities** Governance + Manages ... with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications in cloud technologies (AWS… more
- Dal-Tile Corporation (Tampa, FL)
- …compiling data for reports and visual summaries related to pricing, product, claims , inventory, and samples. May support sales order processing by preparing ... including travel and material preparation. Provide general support to sales operations by gathering information and assisting with process documentation. Communicate… more
- AssistRx (Maitland, FL)
- …candidate will possess a deep understanding of reimbursement processes, specialty pharmacy operations , and the healthcare landscape. This candidate will also be an ... medication assistance, prior authorizations, pharmacy benefits investigation, managed care, claims processing. + Experience working with pharmaceutical or biotech… more
- GAP Solutions Inc (Tallahassee, FL)
- …Customs Enforcement (ICE), Office of Human Capital (OHC), Human Resources Operations Center (HROC). **Duties and Responsibilities:** + Processing personnel and ... Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or… more
- National Health Transport (Miami, FL)
- …Specialist answers inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities: + Promotes, develops, and ... the most efficient billing process. + Directs patient complaints to the Billing Operations Supervisor for completion and filing. + Manages workload in an ethical… more
- Burns & McDonnell (Melbourne, FL)
- …Construct (EPC) Project Manager or Program Manager to oversee day-to-day operations from pre-construction through project completion and warranty periods. The ... information (RFI's), submittals, change management, contract closeout, documentation, and claims mitigation. + Oversee Prime Contract, subcontractor, and client… more
- WTW (Miami, FL)
- …America P&C propositions, especially in the business-focused areas of Pricing, Product, Claims and Underwriting. Our goal is to substantially increase our footprint ... of their Underwriting, Pricing, Product Development, Portfolio Management, Carrier Operations and Distribution and Sales capabilities, and to further WTW's… more
- Iron Mountain (Tallahassee, FL)
- …and copyright issues, including prosecution work with external and regional counsel, IP claims , and licensing, as well as IP portfolio management and other IP ... information management, digital transformation, secure storage and destruction, data center operations , cloud services, or art storage and logistics. Please see our… more
- Prime Therapeutics (Tallahassee, FL)
- …in federal healthcare laws and regulations such as HIPAA, Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed care operations + ... Experience engaging with regulatory bodies (eg, CMS, OIG, state pharmacy boards) and contributing to internal or external policy initiatives Every employee must understand, comply with and attest to the security responsibilities and security controls unique to… more
- Centene Corporation (Tallahassee, FL)
- …to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, or unusual or new services in order to ... + May be required to work weekends and holidays in support of business operations , as needed. + Performs other duties as assigned + Complies with all policies… more