- CVS Health (Tallahassee, FL)
- …Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including health insurance, PBM ... our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- CVS Health (Tallahassee, FL)
- …+ Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and Pharmacy Ops + ... day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact business management… more
- Bristol Myers Squibb (Tampa, FL)
- …and other state programs processed within the Model N Revenue Management application . The position also contributes to team workload prioritization requirements such ... Act as subject matter expert related to Model N claims & payment processing and reporting functionality and has...rebate processing a plus. + Basic understanding of the healthcare industry, BMS Company or related industry customers, business… more
- Highmark Health (Tallahassee, FL)
- …and/or create analytics and reporting solutions aligned to the Quadruple Aim of Healthcare : lower per capita health care costs, improved outcomes from and quality of ... to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and… more
- CVS Health (Tallahassee, FL)
- …conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with ... in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases… more
- Commander, Navy Installations (Jacksonville, FL)
- …arrange invitational travel orders for family members, assisting with travel claims . Consults and collaborates with multidisciplinary teams during initial treatment ... and family from military treatment facility (MTF) to VA or civilian healthcare systems, providing support and assistance in anticipation of challenges. Provides… more
- Zelis (St. Petersburg, FL)
- …So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more ... health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions....you are. Position Overview At Zelis, the Clinical Dispute Analyst role is responsible for the resolution of facility… more