- Molina Healthcare (FL)
- …Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue ... **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise, manages relationships… more
- Norstella (Tallahassee, FL)
- …passionate expert in RWD and the pharmaceutical industry to join our RWD Engagement Team as a RWD Senior Analytic Consultant to support our delivery of RWD ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...life sciences client base. You will join a high-performing team empowered to work creatively to deliver solutions that… more
- Sedgwick (Tallahassee, FL)
- …matters. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Assists the casualty practice lead in supporting sales and account management. + Serves as casualty ... + Provides support, guidance, leadership and motivation to a team of up to 10 individuals to promote maximum...to research technical issues + In-depth technical knowledge of claims management, managed care or call center operations +… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …across the global organization. Enhance the skills and knowledge of the Quality team in line with the business and strategic plans. + **Dashboards and Metrics:** ... and mitigate data integrity risks. + **Operational Excellence:** Develop, implement and lead centers of excellence, as appropriate and in alignment with business… more
- Molina Healthcare (Orlando, FL)
- …analytics and reporting solutions that help track, measure, and optimize automated claims processing solutions. The role will leverage tools like Power BI, Azure ... reporting to track solution effectiveness and surface potential issues + Creating claims impact reporting to assess automation potential, issues or financial impact… more
- Jacobs (Fort Lauderdale, FL)
- … claims and risks, initiate claims , dispute resolution, and respond to claims notifications. * Interface with the AD lead and Operations. * 10+ years' ... pricing of design fees prior to project award. * Support the project team during the proposal phase, including reviewing RFPs and contracts for deliverables, risks,… more
- Prime Therapeutics (Tallahassee, FL)
- …of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight ... 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
- CDR Maguire (Miami, FL)
- …policies, procedures, and programs with organizational goals and regulatory standards. + Lead the HR team , providing oversight, guidance, and final ... CDR is seeking an experienced Human Resources Manager to join our team on-site in Miami, FL. The HR Manager serves as a liaison between management and staff,… more
- AON (Tampa, FL)
- …the world. As an organization, we are united through trust as one inclusive team and we are passionate about helping our colleagues and clients succeed. What the ... medical plans for PEO clients. + Analyze data such as census information, claims experience, and premium history to calculate insurance premiums. + Collaborate with… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …expertise and delivery of analyses. + Actively participate in project/study team meetings. Develop statistical sections of protocols; participate in mock-ups, ... demonstrated by serving in primary roles as statistician or lead statistician in trial design and analyses. + Experienced...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more