- Fujifilm (Tallahassee, FL)
- …be an integral part of the legal team providing support to the Medical Device businesses of FUJIFILM Healthcare Americas Corporation and FUJIFILM SonoSite, Inc., ... (HLUS). The Senior Counsel, reporting to the Division General Counsel, Medical Devices, will be an experienced commercial transactions lawyer, responsible for… more
- AdventHealth (Tampa, FL)
- AdventHealth West Florida Division Women's Services Institute is seeking a Medical Director. The director's medical specialty can be OB/Gyn, Maternal Fetal ... all Ob/Gyn practices in West Florida. + In collaboration with AdventHealth Medical Group (AHMG) leadership, addresses clinical, behavior or operational concerns with… more
- Sedgwick (Tallahassee, FL)
- …as it relates to policy language and advises client of the outcome. + Handles medical claims (under P&I coverage) from beginning to end requesting medical ... Insurance Marine Investigator **PRIMARY PURPOSE** **:** To perform detailed admiralty claims investigation and analysis through examination of the loss, collection… more
- Sedgwick (Jacksonville, FL)
- …PURPOSE** : The Bill Review Analyst plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and ... **ESSENTIAL FUNCTIONS AND RESPONSIBILITIES** + Reviews legal invoices associated with medical malpractice claims to verify accuracy, reasonableness, and… more
- Molina Healthcare (FL)
- …executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data ... initiatives and strategy. **Essential Job Duties** * Regularly unpacks detailed medical cost information to identify significant trends development and underlying… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Humana (Tallahassee, FL)
- …Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The ... Medical Coding Coordinator performs advanced administrative, operational, and customer...apply intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety… more
- CVS Health (Tallahassee, FL)
- …**Position Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves ... metrics **Required Qualifications** + 3-5 years of experience in a medical claim background with demonstrated ability and strong understanding of benchmarking… more
- Elevance Health (Miami, FL)
- …Code (CPC or CCS-P) required. **Preferred Skills, Capabilities, and Experiences:** + Claims processing experience preferred. + Knowledge of medical terminology ... and Reimbursement Specialist** is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and… more
- Baylor Scott & White Health (Tallahassee, FL)
- …(Commercial, DTE, Medicare, and Medicaid). Candidate will oversee extracting and analyzing medical and pharmacy claims data, translating output into business ... **JOB SUMMARY** 100% remote position** The Medical Trend Analytics Manager 1 is responsible for...with excellent healthcare business acumen and communication skills. The Medical Trend Analytics Manager 1 manages a team that… more