- Norstella (Tallahassee, FL)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable insights and drive… more
- USAA (Tampa, FL)
- …+ Collects and reviews data from reports, addresses research needs of management and other internal stakeholders. + Provides oversight of third-party workers, ... verifying data accuracy and compliance; conducts quality control reviews on non-complex claims processed by vendors. + Drives improved member service through the… more
- Elevance Health (Miami, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes. + Reviews company specific, CMS specific, and competitor specific… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …+ Work with bioanalytical team members on activities related to sample management , pharmacogenomics and biomarker development and provide analysis support related to ... states and local laws. **Company benefits** : Comprehensive medical, dental , vision, prescription drug coverage, company provided basic life,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sedgwick (Tampa, FL)
- …confirming delivery of said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as ... a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- RELX INC (Boca Raton, FL)
- …as necessary Requirements + Have proven experience in leave administration, including with Claims Management . + Have an exceptional attention to detail + Be ... including counseling employees on leave applications and ensuring timely adjudication of claims by the Third Party Administrator (TPA) + Entering leave data into… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …policy and government affairs activities, particularly PhRMA. Contribute to the management of the federal political action committee and the grassroots political ... states and local laws. **Company benefits** : Comprehensive medical, dental , vision, prescription drug coverage, company provided basic life,...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)
- …product profiles) for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable. + Stakeholder ... states and local laws. **Company benefits** : Comprehensive medical, dental , vision, prescription drug coverage, company provided basic life,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- LCEC (North Fort Myers, FL)
- …5:00pm Our benefits include: + Company-wide annual incentive plan + Medical, vision and dental insurance + 401(k) plan with a generous 6% company match + Company ... development, implementation, and oversight of the electric utility's enterprise risk management (ERM) and regulatory compliance programs. This position ensures that… more
- Sedgwick (Tampa, FL)
- …in performance tuning data models and monitor consumption costs. + Integration management : Ensure efficient and secure integration of data across various platforms, ... progress, and strategic direction of data architecture initiatives + Project management : Oversee the planning, execution, and delivery of data architecture projects,… more