- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Pharmacy Contracting Professional 2 ensures contract compliance and performs analysis ... regarding pharmacy claims . Understands department, segment, and organizational strategy and operating...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... needs and nutraceutical products for the maintenance of everyday health . As an Associate Director, Biostatistician, you will be...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Stars Enterprise Activation Principal coordinates, implements, and manages oversight of ... encompasses critical functions including care coordination, quality measurement, billing, claims processing, and customer service, each essential to delivering a… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …improvement **Qualifications** **Education and Experience:** + Bachelor's degree in Life Sciences, Health Economics, Public Health , or related field required + ... fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive… more
- 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
- Norstella (Tallahassee, FL)
- …service offerings leveraging Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be joining an organization hard ... by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data *Your… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …manner, with an enterprise view - Strong understanding of relevant regulatory health authority expectations and regulations for drug development - Working knowledge ... priorities for competing successfully in the evolving pharmaceutical and health care industry - Ability to multitask across multiple...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- The Hartford (Sunrise, FL)
- …in the RMS process - meeting with insured's, making presentations, working with claims and underwriting, etc. + Work with Risk Engineering Manager on special ... BA/BS degree is required with coursework focused on Occupational Safety and Health Studies, Fire Sciences, Pure Sciences, Engineering or related subjects is strongly… more
- Molina Healthcare (FL)
- JOB DESCRIPTION Job Summary Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating ... information system and prepares documentation for further review. * Researches claims issues utilizing systems and other available resources. * Assures timeliness… more
- Sedgwick (Tallahassee, FL)
- …and other key stakeholders. + Maintains regular contact with colleagues, supervisors, health care providers, and other key stakeholders regarding progress and status ... answering/resolving any follow-up questions/issues and helps identify clarifications, when needed, from health care providers. + Acts as a subject matter expert and… more