- Elevance Health (Tampa, FL)
- …+ Requires a HS diploma or equivalent and a minimum of 2 years of claims processing and/or customer service experience; or any combination of education and ... responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …non-traditional distribution requirements). + **Risk Mitigation & Prioritization:** Lead structured prioritization efforts across the portfolio, ensuring limited ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Elevance Health (Tampa, FL)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …positioning. **Key Responsibilities** + **Brand Strategy & Lifecycle Management:** Lead marketing for established brands like Nuedexta, ensuring strategic ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Elevance Health (Tampa, FL)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Prime Therapeutics (Tallahassee, FL)
- …analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing , healthcare, and/or related field + Previous experience using ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight… more
- Prime Therapeutics (Tallahassee, FL)
- …analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing , healthcare, and/or related field. + Previous experience using ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight… more
- Molina Healthcare (St. Petersburg, FL)
- …in Medicaid, Medicare, and Marketplace lines of business. + Familiarity with QNXT claims processing platform. + Knowledge of legal procedures related to complex ... across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice,… more
- CDR Maguire (Miami, FL)
- …procedures, and programs with organizational goals and regulatory standards. + Lead the HR team, providing oversight, guidance, and final decision-making on ... Benefits Specialists in managing benefits programs, including open enrollment, claims resolution, change reporting, approving invoices, and performing annual… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Position Summary** The purpose of this position is to lead the clinical development activities in support of domestic and international clinical development ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more