- Highmark Health (Tallahassee, FL)
- …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... dentistry and dental consultants) keeping management informed on related healthcare industry issues/topics. Support competitive position in the marketplace by… more
- Humana (Tallahassee, FL)
- …team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
- UNUM (Tallahassee, FL)
- …Life. It is critical to provide accurate information on benefits, claims , and or policy administration with minimal operational oversight. Incumbents in ... with a strong preference that the experience be in the insurance/ healthcare /medical/financial field or equivalent area. + Highschool diploma or GED required.… more
- Sumitomo Pharma (Tallahassee, FL)
- …years (with Master's) years of relevant experience in biotech, pharmaceutical, or healthcare industry, including 5+ years of experience in Commercial Data Management ... knowledge of CRM platforms (Salesforce, Veeva), syndicated data (IQVIA & Symphony sales and claims data, MMIT) The base salary range for this role is $153,200 to… more
- EMCOR Group (Orlando, FL)
- …drawings and specifications + Supports the Project Manager in the negotiation of claims and changes + Provides input to Project Manager regarding cost and schedule ... A minimum of three years' experience on construction projects in a Healthcare Foreman or Healthcare General Foreman role (or higher) position + Ability to read… more
- EMCOR Group (Melbourne, FL)
- …drawings and specifications + Supports the Project Manager in the negotiation of claims and changes + Provides input to Project Manager regarding cost and schedule ... A minimum of three years' experience on construction projects in a Healthcare Foreman or Healthcare General Foreman role (or higher) position + Ability to read… more
- Prime Therapeutics (Tallahassee, FL)
- …of experience in pharmacy benefits management, reporting & analytics, benefits consulting, healthcare , financial services or related field + Must be eligible to work ... as PMPM, generic utilization) + Experience working with large sets of pharmacy, claims , medical, and/or financial data + Previous experience in a client facing or… more
- Highmark Health (Tallahassee, FL)
- …etc. + Lead work around "blended" research that uses our unique claims and clinical datasets for publications in high-impact journals. Collaborate with other ... or Health Data Science or related field EXPERIENCE Required + 10 years in the Healthcare industry + 10 years in a management role Preferred + 7 years analyzing… more
- MyFlorida (Jupiter, FL)
- …equal employment opportunity, regulatory work as a paraprofessional or higher, claims adjusting, auditing, financial examining, land appraisal work, human relations, ... personnel, working as a licensed healthcare professional regulated by the Division of Medical Quality Assurance. + One (1) year of investigative experience + College… more
- Prime Therapeutics (Tallahassee, FL)
- …Knowledge of PBM functions such as but not limited to customer service, claims , benefits, prior authorizations, rebates, and networks. + Build business case for all ... to work effectively in a matrixed team environment **Preferred Qualifications** + Healthcare or PBM industry experience + Prior pharmacy technician experience and/or… more