- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- The Associate Director, Strategic Planning & Operations will support the assets of varying lifecycle stages in the relevant therapeutic area portfolio. This role is ... are in place. This position reports directly into the Director, Strategic Planning Lead , who in turn reports into the Medical Excellence & Operations Lead… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …seek to shape and implement best practices, ensure efficient processes, and support the delivery of high-quality medical plans. This role ensures alignment between ... **Job Description** **Key Responsibilities Include:** **Strategic Planning and Governance** + Lead the annual and multi-year Global and US Medical Affairs Strategic… more
- Sedgwick (Tallahassee, FL)
- …| Northeast Region **Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of ... Services within the assigned area. **Account Management with a background in liability claims required** **PRIMARY PURPOSE OF THE ROLE:** We are looking for driven… more
- Intermountain Health (Tallahassee, FL)
- …**Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on ... contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims … more
- IQVIA (Tampa, FL)
- …to enable successful achievement of business results. + Manage, mentor, develop, and lead finance staff. + Strategic decision-making support and awareness in ... clients and payees. + Identify and manage **payment data related to claims , rebill, and manage overrides.** + Audit readiness and fraud detection-including claw… more
- Elevance Health (Miami, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. +… more
- Stantec (Orlando, FL)
- …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... written communications, including Change notifications, Change Requests, responses to Claims notifications, etc. within the timeframes required by the Contract… more
- Jacobs (Fort Lauderdale, FL)
- … claims and risks, initiate claims , dispute resolution, and respond to claims notifications. * Interface with the AD lead and Operations. * 10+ years' ... the financial success of our projects. We seek a leader with a strong background in commercial management, preferably...pricing of design fees prior to project award. * Support the project team during the proposal phase, including… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …emerging biomarker and translational tools, new technologies and scientific capabilities in support of Otsuka's pipeline. The Senior Director TM works closely with ... Head of TM as well digital and diagnostics groups to support development of biomarkers throughout life cycle of Otsuka's compounds. The Senior Director TM will… more
- Zurich NA (Tallahassee, FL)
- Senior Performance Analyst I 128611 Zurich North America is seeking an intellectually curios Claims Finance Consultant to join our Claims Finance team! The ideal ... candidate can work in one of our claims offices Addison, Atlanta, Dallas, Maitland, Omaha, Overland Park,...the creation of key financial presentations and models to support strategic and operational initiatives. While executing on multiple… more