- Centene Corporation (Tallahassee, FL)
- …but not limited to reimbursement strategy, contracting strategy, unit cost management, claims configuration and network operations . + Oversee network development ... staff and external consultants in the development of provider networks across expansion markets. + Lead health plans in periodic analyses of their provider networks from a cost, coverage, and growth perspective. + Provide leadership in evaluating opportunities… more
- MyFlorida (Fort Lauderdale, FL)
- 68048394 - GOVERNMENT OPERATIONS CONSULTANT II Date: Dec 11, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Agency for Health Care Administration Working Title: 68048394 - GOVERNMENT OPERATIONS CONSULTANT II Pay Plan: Career Service Position Number: 68048394 Salary:… more
- Centene Corporation (Tallahassee, FL)
- …managed care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations . Project ... **Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics** **Perform… more
- NextEra Energy (North Palm Beach, FL)
- …and resource planning, internal consulting and property and casualty underwriting operations support and claims administration. **Job Duties & Responsibilities** ... reliability and work efficiency. + Oversee the management of IT operations , including infrastructure, applications and cybersecurity + Collaborating with senior… more
- Cardinal Health (Tallahassee, FL)
- …is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid ... data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Job Description** The Senior Director, Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline and ... in-market products and manages contract operations to optimize revenue, market share, and support patient...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)
- The Associate Director, Strategic Planning & Operations will support the assets of varying lifecycle stages in the relevant therapeutic area portfolio. This role is ... who in turn reports into the Medical Excellence & Operations Lead. **Job Description** **Key Responsibilities Include:** **Strategic Planning...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)
- Director, Training Management Operations Lead The Director, Training Management Operations Lead, is a senior leader within the Learning Center of Excellence ... responsible for overseeing the end-to-end management of global training operations , ensuring compliance with regulatory requirements, operational efficiency, and… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …growth strategy. The Executive Director, Medical Affairs Strategy, Excellence & Operations will lead five critical teams: Strategic Planning, Business Solutions & ... & Contracts Management, Governance & Procedures, and Global Medical Evidence Operations ensuring alignment with enterprise goals and medical excellence priorities.… more
- The Larson Group (Southport, FL)
- …an accurate + Administer cores and core + Assists warranty Administrator in warranty claims and returns + Review daily operations from previous day for accuracy ... The primary function of the Parts Manager is the Supervision of the day to day operations of the Parts Department. What We Offer: + Paid Time Off + Paid Holidays +… more