• Field Reimbursement Manager

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …and coding in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially Medicare Part D + Experience in ... contacting Accommodation Request ([email protected]) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
    Otsuka America Pharmaceutical Inc. (08/27/25)
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  • Director, CoPay Services

    AssistRx (Orlando, FL)
    …comply with all federal, state, and industry regulations, including anti-kickback statutes, Medicare/ Medicaid rules, FDA and OIG guidance. + Work closely with the ... pharmaceutical manufacturers and understanding of third-party payer systems (commercial, Medicare, Medicaid ). Skills & Competencies: + . Strong leadership and team… more
    AssistRx (07/29/25)
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  • Eligibility Specialist I

    MyFlorida (Daytona Beach, FL)
    …obtain and verify information needed to determine eligibility for Food Assistance, Medicaid , and Cash Assistance. + Learning numerous state and federal program ... regarding eligibility status is confirmed. + Reporting cases where identity theft or fraud is suspected. + Advising clients of deadlines, time frames, and necessary… more
    MyFlorida (08/28/25)
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  • Special Investigation Unit (SIU) Coding Review…

    CVS Health (Tallahassee, FL)
    …findings and ensure the team articulates findings effectively to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, and state ... state and federal policies, and identify potential billing errors, abuse, and fraud . + Identify opportunities for savings related to potential cases that may… more
    CVS Health (08/08/25)
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