- BrightSpring Health Services (Fort Lauderdale, FL)
- …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... milligrams) + May resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current knowledge of Medicaid… more
- AIG (Miami, FL)
- …and insurance companies across Latin America. The Facultative Political Violence Senior Underwriter will collaborate with the Regional Product Leader and other ... Product Leader of LAC Facultative Desk. How you will create an impact The Senior Underwriter - Political Violence and Cyber White Label will be responsible for… more
- Humana (Tallahassee, FL)
- …first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
- Amentum (Tallahassee, FL)
- …objectives. The Director acts as a key advisor to business units and senior leadership on risk-related matters and ensures compliance with regulatory and contractual ... appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination with… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Description:** We are looking for a Senior Engineer to deliver analytics and reporting solutions that help track, measure, and optimize ... automated claims processing solutions. The role will leverage tools like...track solution effectiveness and surface potential issues + Creating claims impact reporting to assess automation potential, issues or… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …program related updates, strategies, and initiatives to key stakeholders and senior management. + Develop and manage comprehensive budgets for various projects ... 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
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …of the Quality Systems and Risks will be reported periodically to Senior Management through the Management Review process to ensure alignment with Company ... 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
- Prime Therapeutics (Tallahassee, FL)
- …Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of value generated by Prime's ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Molina Healthcare (St. Petersburg, FL)
- …across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice, ... Medicaid, Medicare, and Marketplace populations. + Collaborate with legal, claims , provider relations, finance, and compliance departments to ensure coordination… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …to feedback and self-improvement + Demonstrates experience interacting with and supporting senior leadership + Ability to champion new ideas or positions to meet ... 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