- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …Competencies** **K** **nowledge** - Experience working in the pharmaceutical and/or healthcare industry. - Knowledge and experience with preparation of global ... clinical development, project management, quality assurance, etc.) in pharmaceutical or healthcare related industry. Experience with FDA or other health authority… more
- Elevance Health (Miami, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Humana (Tallahassee, FL)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- AdventHealth (Altamonte Springs, FL)
- …Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance related to inpatient care, outpatient ... denial management by reviewing and making recommendations on appealed provider claims and makes determinations for appeals and grievances from patients; assists… more
- ChenMed (Greenacres, FL)
- …and procedures. Employees model and deliver the highest level of quality healthcare while working directly with patients and their families, doctors and other ... with the Pharmacy Technician Code of Conduct. + Helps healthcare providers and patients by greeting them in person...drugs. + Maintains knowledge of asset protection techniques, creates claims for order errors and damaged goods. + Maintains… more
- Elevance Health (Tampa, FL)
- …The **Business Information Analyst Senior** is responsible for analyzing and validating healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid ... requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance… more
- Adecco US, Inc. (Orlando, FL)
- …the FRM provides expert guidance on benefit investigations, prior authorizations, claims resolution, and appeals. This client- and customer-facing role requires ... strong relationship-building skills with healthcare providers and manufacturer partners. The FRM delivers tailored education and support both virtually and on-site,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …federal laws, regulations and guidelines including PhRMA Code on Interactions with Healthcare Professionals as well as complying with all OAPI standards and policies ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …to internal and external KOLs/stakeholders, various stakeholders in the medical/ healthcare community, Otsuka's partners, and clinical trial personnel credibly, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …+ Bachelor's degree + 5-7 years of experience in pharmaceutical or healthcare industries, with experience in payer and/or channel functions required + Performance ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more