- Humana (Tallahassee, FL)
- …and monitors investigations of allegations of fraudulent and abusive practices. The Manager , Fraud and Waste works within specific guidelines and procedures; ... goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with law enforcement authorities. Leads team/investigators… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The ... reliability, and compliance while collaborating closely with the Field Strategy & Operations team to meet field force needs. **Key Responsibilities** **Fleet … more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- The Senior Manager , Platform Engineer, Operational Support will be responsible for managing and enhancing platform integrations across data systems, Salesforce ... capabilities. + Collaborate closely with business stakeholders, Health Experience operations , and cross-functional teams to define technical requirements, deliver… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …regulatory team (GRL, regional leads, CMC-RA, labeling, medical writing, regulatory operations , etc.) to develop global regulatory plans, address global regulatory ... contacting Accommodation Request ([email protected]) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- Zelis (St. Petersburg, FL)
- …gained, and the personal interests that shape who you are. Position Overview The Manager , DRG Validation of the Expert Claims Review (ECR) department is ... and team management of the DRG product. The Manager , DRG Validation will be primarily responsible for the...years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims required + Supervisory experience preferred + Solid understanding… more
- CDM Smith (Orlando, FL)
- …CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial ... data related to disaster-related claims , including property damage, business interruption, and other loss...conduct thorough forensic investigations to identify discrepancies, detect potential fraud , and ensure the integrity and fairness of claim… more
- Truist (Orlando, FL)
- …review the following job description:** Under minimal supervision of the Operations Manager , responsible for handling electronic payment exceptions, escalations, ... guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to… more