- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Prime Therapeutics (Tallahassee, FL)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Account Manager - Remote **Job Description** The Account Manager provides ... and consulting to Health Plan and Prime senior management. The Account Manager supports senior management and Health Plan Markets teams in communications,… more
- AssistRx (Orlando, FL)
- …we serve. We are seeking a strategic, customer-centric, and execution-focused Product Manager to lead the evolution of our patient support program (PSP) solutions ... (patient portals, apps, engagement platforms). + Knowledge of EMR/EHR integrations, claims data, and real-world evidence (RWE). + Experience creating outcomes… more
- CVS Health (Tallahassee, FL)
- …to complex issues, regarding policies and procedures, contract language, service, claims or compensation issues, and provider education needs. + Optimizes ... interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships. + Meets with key Providers at regular intervals to ensure service levels meet expectations. + Collaborates with internal… more
- Ryder System (Tallahassee, FL)
- …**SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling ... complex and high exposure bodily injury and property damage claims . **Maintain an active inventory of claims ,...reviews and performance appraisals of assigned staff. Assists Claim Manager with other staff as directed Assists in team… more
- Molina Healthcare (Tampa, FL)
- …and productive environment. Further details to be discussed during our interview process. Remote position with location preference in MI, IL or WI Work hours: ... Duties** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made,… more
- Sharecare (Tallahassee, FL)
- …Summary:** The role of the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to members and their families ... eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status,… more
- Otsuka America Pharmaceutical Inc. (Fort Lauderdale, FL)
- This is a fully remote position. Candidates may be based anywhere within the United States, provided they have easy access to a major airport to accommodate business ... travel requirements. **Position Summary** The US Field Training Manager is responsible for developing and delivering training for...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Zurich NA (Maitland, FL)
- Large Casualty Underwriting Portfolio Manager 129188 Zurich North America is currently looking for an experienced Large Casualty Underwriting Portfolio Manager ... Auto, Workers Compensation, and Umbrella/Excess Casualty). The Underwriting Portfolio Manager will collaborate with our underwriting teams to improve underwriting… more
- Sedgwick (Tampa, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager will cover our Tampa ... have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE OF THE ROLE:**...on the health and lives of others, and a remote work environment that allows face to face interaction… more