- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …datasets from IQVIA, Symphony, Market Access Data (ie patient longitudinal data, claims data, distribution, sales, demand, promotion, formulary) + Strength in one or ... tools such as MicroStrategy, PowerBI, etc + Experience in processing , analyzing, and synthesizing various data sources (syndicated, specialty...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Prime Therapeutics (Tallahassee, FL)
- …combined pharmacy and PBM experience to include:##1 year of work experience in claims processing in an operations, audit or quality assurance environment##1 year ... understanding of the point of sale and on-line pharmacy claims processing environment + Excellent oral, written...ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and… more
- Intermountain Health (Tallahassee, FL)
- …of clinical pharmacy services to members and affiliated providers. **Select Health Pharmacy Coordinator - Remote Position** This position requires rotating holiday ... call scheduling. **Job Essentials** + Provides clinical pharmacy support for Select Health and affiliated members. + Develops and implements innovative programs that… more
- Aston Carter (Miami, FL)
- …sales, accounting, and legal administrative duties, including maintaining records and processing new business. + Handle accounting activities such as calculations, ... information using the REOS System. + Prepare and reconcile claims bordereaux. Skills & Qualifications + Experience in Property...pay range for this position is $65000.00 - $75000.00/yr. health , dental vision 401k Workplace Type This is a… more
- Walmart (Ocala, FL)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Molina Healthcare (Orlando, FL)
- …appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing . + Identifies and reports quality of care issues. + ... denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of… more
- MyFlorida (Tallahassee, FL)
- …incumbent's primary responsibility is to perform duties that assist us with the processing of Social Security disability claims . This position requires the ... Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 852692 Agency: Department of Health Working Title: OPS RECORDS ANALYST - 64801363 1… more
- Highmark Health (Tallahassee, FL)
- …years of experience specific to the Dental Solutions Application Portfolio (eg, Concordia Claims Processing & RENO, Portal applications, UCD billing, etc.) may ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Molina Healthcare (FL)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare data, including ... support and consultation to the Clinical Center of Excellence, Health Plan, and Finance teams through analyzing key business...and manage information from large data sources + Analyze claims and other data sources to identify early signs… more
- Walmart (Sarasota, FL)
- …and resolves problems in the prescription fulfillment process when necessary by processing information for third party insurance claims rescanning illegible ... and procedures by assisting the pharmacist in the prescription fulfillment process processing third party insurance claims and or rejections assisting patients… more