- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …regulatory team (GRL, regional leads, CMC-RA, labeling, medical writing, regulatory operations , etc.) to develop global regulatory plans, address global regulatory ... **K** **nowledge** - Experience working in the pharmaceutical and/or healthcare industry. - Knowledge and experience with preparation of...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… 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
- Highmark Health (Tallahassee, FL)
- …MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations , Customer Service, Regulatory Affairs, IT, Legal and other departments, ... industry regulatory changes and assess their potential impact on Claims Operations , Customer Service and other operational...Health Insurance Industry + 3 - 5 years the Healthcare Industry + 3 - 5 years in Lean/Six… more
- Walgreens (Temple Terrace, FL)
- …that reflect the unique communities we serve as requested by Store Manager, Healthcare Supervisor, or District Manager. Operations + Counsels patients and ... medications and drug interaction awareness. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcome… more
- Evolent (Tallahassee, FL)
- …growth opportunities at customer accounts + Strong knowledge of health plan operations , care/utilization management, claims processing, value-based care, and the ... Provider Solutions, Strategic Accounts, Analytics, Client Finance, Implementation, Clinical Operations , Medical, Quality, and Call Center Teams) to identify new… more
- University of Miami (Miami, FL)
- …. + Become s knowledgeable about UHealth's policies, procedures, and business operations . + Adheres to University and unit-level policies and procedures and ... Hospital Billing Administration along with proficiency in Charging, Contracts, and Claims /Remittance + Configure, build, and maintain Epic HB applications to support… more
- Walgreens (Orlando, FL)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. Operations + Under the supervision by the pharmacist, assist in the practice ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Elevance Health (Tampa, FL)
- …are strongly preferred. + Knowledge of SAS. + Knowledge of systems capabilities and Healthcare business operations . + ASC X12 837 EDI experience. + Intermediate ... The **Business Information Analyst Senior** is responsible for analyzing and validating healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid… more
- Walgreens (Miramar, FL)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. Operations + Under the supervision by the pharmacist, assist in the practice ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… 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