- Molina Healthcare (FL)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... + Generates and prepares provider-related data and reports in support of Network Management and Operations areas of responsibility (eg,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …strategies and plans. **Key Responsibilities:** + Align to the therapeutic strategy, support the strategic vision for the respective assigned assets or TA portfolio. ... product profiles) for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- ChenMed (Miami, FL)
- …Analyst is responsible for identifying and delivering data-driven insights and analytical support to executive leadership of ChenMed. Success in the role will be ... **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Analyzes and interpret enrollment, revenue, and claims (utilization and unit cost) data to identify and solve business… more
- Community Health Systems (Naples, FL)
- …Events. + Serve as Patient Safety Officer or collaborate with one to support quality and safety initiatives. ** Claims & Litigation Management** + Oversee ... including investigations, documentation, and coordination with defense counsel. + Support resolution strategies, including mediation and settlement negotiations with… more
- Prime Therapeutics (Tallahassee, FL)
- …with a high level of detail and accuracy, to clearly and concisely support conclusions and recommendations. + MISCELLANEOUS DUTIES: + Provide backup support ... Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the… more
- Molina Healthcare (Tampa, FL)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... reports. + Generates Provider Related reports to facilitate and support Provider Services/Provider Problem Research & Resolution. **JOB QUALIFICATIONS** **Required… more
- Elevance Health (Tampa, FL)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …timelines, including sample collection, storage conditions, and analytical testing, to support product development and regulatory submissions. + Author and review ... 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
- Aston Carter (Coral Gables, FL)
- …will be the primary point of contact for customers, delivering exceptional support and problem-solving to help ensure their satisfaction and success. You'll assist ... with claims , explain services and products, and resolve inquiries via...+ Respond to inbound customer calls and emails regarding claims , billing inquiries, and service-related questions. + Assist customers… more
- Dycom (West Palm Beach, FL)
- …At Dycom Industries, as a Senior Analyst, Risk and Sustainability, you'll support the corporate risk management function and assist with renewal of insurance ... information and analyze for accuracy + Work with Dycom claims , TPA, broker and insurer to put together, analyze...to put together, analyze and review documents for quarterly claims review + Monitor and analyze monthly and quarterly… more