• Credit Balance Manager

    Intermountain Health (Tallahassee, FL)
    **Job Description:** The Cash Management Credit Balance Manager has the responsibility for overseeing all facets of patient credits including self-pay, commercial ... years of experience in Healthcare Revenue Cycle (Credit Balance/Resolution, Payment Posting, Claims , Billing, and Insurance and Follow-up) . Three (3) years of… more
    Intermountain Health (05/30/25)
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  • Manager , Medical Economics (Pop…

    Molina Healthcare (FL)
    …to ensure accuracy and clarity. + Reviews regulatory reporting requirements and Health Plan project documentation. + Maintains reporting service level benchmarks for ... medical management. + Interfaces and maintains positive interactions with Health Plan and Corporate personnel. **JOB QUALIFICATIONS** **Required Education**… more
    Molina Healthcare (04/20/25)
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  • Manager , Business Analytics

    CVS Health (Tallahassee, FL)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Plans. Internal & External reports are required for eligibility, claims and claim financial data for various stakeholders across… more
    CVS Health (05/16/25)
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  • Senior Special Investigations Coding…

    CVS Health (Tallahassee, FL)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...coding/nursing professionals who conduct reviews of medical records and claims for suspected healthcare fraud, waste, and abuse. Provides… more
    CVS Health (05/24/25)
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  • Field Reimbursement Manager - West Region

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Risk Manager

    Sarasota County Government (Sarasota, FL)
    …Start Here. Grow Here. Stay Here. Are you an experienced Risk Manager ready to collaborate and provide strategic oversight in the identification, measurement ... Safety and Risk Management Program, as well as Occupational Health . Up to $3,000 relocation is available for those...management of in-house adjusting staff for property and liability claims and TPA oversight for auto and Workers Compensation… more
    Sarasota County Government (03/21/25)
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  • Clinical Account Manager - Georgia PDL…

    Prime Therapeutics (Tallahassee, FL)
    …and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative business clinician ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more
    Prime Therapeutics (04/24/25)
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  • Senior Manager , Specialty Pharmacy…

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …Specialty Pharmacy Operations We are seeking a detail-oriented and proactive Senior Manager of Pharmacy Operations to support the operational execution of our new ... and addressing any operational issues that arise. The Senior Manager will also collaborate closely with Account Managers, Field...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Commercial Project Manager

    Stantec (Orlando, FL)
    Commercial Project Manager - ( 240002FH ) **Description** We create great places and the connections that get people and goods moving-whether by car, bus, train, ... of everything we create. **Your Opportunity** Stantec is seeking a Project Commercial Manager who will be responsible for all matters pertaining to the contractual… more
    Stantec (03/13/25)
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  • Sr. Product Manager , HCP Marketing, ADHD

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …in ADHD, the first for Otsuka in this therapeutic area. The Senior Product Manager , HCP Marketing ADHD will be responsible for HCP Personal and Non-Personal (NPP) / ... to one of the largest unmet needs in mental health . Key Responsibilities: Lead HCP marketing promotional tactics and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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