- CDM Smith (Fort Myers, FL)
- …Assist the project team in developing and maintaining a project risk register. Claim management : Early support for claims and disputes on the project. Identify ... Manager - Pacific will be responsible supporting the project management teams in CDM Constructors' Pacific region, primarily projects...contractual requirements to maintain and prosecute claims , and assist project team in managing to those… more
- AdventHealth (Altamonte Springs, FL)
- …the Physician Advisor is responsible for providing clinical review of utilization, claims management , and quality assurance related to inpatient care, outpatient ... you will contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary support for Care Management (CM) departments… more
- Elevance Health (FL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... + Maintains accuracy and quality standards as established by audit management . + Identifies potential documentation and coding errors by recognizing aberrant… more
- MyFlorida (Tallahassee, FL)
- …Antitrust litigation + Experience in Complex litigation + Experience in False Claims Act litigation + Experience with E-discovery + Undergraduate degree in Economics ... involving multi-state antitrust litigation III. INVESTIGATION AND LITIGATION OF FALSE CLAIMS ACT VIOLATIONS: Assists the Lead Attorney in planning, organizing, and… more
- Zurich NA (Tallahassee, FL)
- …Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate ... and 8 or more years of experience in the Claims or Underwriting Support area. + Knowledge of Microsoft...property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- Zurich NA (Tallahassee, FL)
- …Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate ... and 8 or more years of experience in the Claims or Underwriting Support area. + Knowledge of Microsoft...property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …external pressures (eg, 340B, patient leakage) and internal shifts (eg, LOE management , innovative distribution models), this role will be critical in anticipating ... Responsibilities:** + **Proactive Program Optimization:** Own the end-to-end performance management process for affordability and channel programs across in-line… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …development team to operationalize the clinical develop strategy,i.e., clinical trials management . + Partnering with internal and external clinical experts and ... as well as evaluates in-licensing opportunities and/or additional life cycle management opportunities. + Participates in NDA development, submission and defense. +… more
- CDR Maguire (Miami, FL)
- …compensation, and benefits administration; paid time off, furlough, leave, and FMLA/ disability programs; management and employee training and development ... on-site in Miami, FL. The HR Manager serves as a liaison between management and staff, overseeing HR professionals, the departmental budget, and the compliant… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …to day operations and issue resolution. Escalate issues as appropriate to senior management . + Proactively source and develop ideas to improve fleet program, based ... team to ensure the fleet program supports field deployment needs. **Samples Management & Compliance** + Ability to operate independently in the management… more