- Elevance Health (Miami, FL)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... you will make an impact:** + Assists higher level auditor/ lead on field work as assigned and acts as...Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider… more
- Humana (Tallahassee, FL)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data changes on actuarial models, reporting tools, and financial results. Lead and manage data-related projects from scoping through post-production validation,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …individuals and teams can achieve unprecedented outcomes that ultimately lead to greater responsibility. **Pipeline** Since 2007, OPDC has dedicated ... leading to NDA, BLA, and/or Global filings. **Key Job Responsibilities** + Lead the clinical development strategy and execution for assigned programs after proof… more
- Highmark Health (Tallahassee, FL)
- …liaison, bridging the gap between business needs and the analytical technology team . The Senior Decision Support Consultant will leverage technical, analytical, and ... The consultant will act as a senior resource within the team , fostering business-to-technical collaboration and providing strategic consultation directly to… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …stakeholder engagement activities (including those of the managed market liaison (MML) team ). This role will lead cross-functional planning efforts, develop ... **Job Description** **Key Responsibilities Include:** **Strategic Planning & Execution** + Lead the development and implementation of strategic plans for external… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …and influencing enterprise-wide decisions + Partner closely with the Global Field Medical Affairs Lead to ensure the global field medical team is equipped with ... position within the Nephrology & Immunology Unit (BU) Medical Affairs team , influencing and engaging internal stakeholders, external experts, and the broader… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …methods of strategic and tactical planning and execution. **Operational Excellence and Team Management** + Lead and manage core operational pillars within ... address complex challenges within medical affairs + Ability to lead a team and influence organizational level...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)
- …activities for all assigned projects in alignment with the Global Regulatory Lead . Translates complex pertinent global requirements and provides an assessment of the ... associated regulatory challenges to the GRL, global regulatory team , assigned project teams, and internal/external functional business units as needed. Works… more
- Humana (Tallahassee, FL)
- …market growth and operational effectiveness. This position resides within the Finance team and partners directly with Market CFOs, clinical teams, and provider ... engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion markets. Key Responsibilities: +… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …and provides expert interpretation of regulatory guidelines and perspective to the cross-functional team . Serve as CMC regulatory lead on global project teams ... and scientific/technical requirements to ensure documentation meets regulatory standards. Lead responses to Health Authority questions and deficiency letters. +… more