- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …quality primary care. The incumbent will be responsible for providing comprehensive medical care. Duties and responsibilities include, but are not limited to: The ... quality primary care. The incumbent will be responsible for providing comprehensive medical care. Primary care physicians will have responsibility for supervision of… more
- Molina Healthcare (FL)
- …to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of ... for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and… more
- Datavant (Tallahassee, FL)
- …Radiology Cardiology Injection and Infusion services Orthopedics Post-operative pain blocks Medical necessity documentation Claim edits and revenue codes ... Radiology Cardiology Injection and Infusion services Orthopedics Post-operative pain blocks Medical necessity documentation Claim edits and revenue codes… more
- University of Miami (Hollywood, FL)
- …monitors robotic machines that dispense medicine into containers. + Prepares and processes medical insurance claim forms and handles insurance claim records. ... - Hollywood. CORE JOB SUMMARY: The Pharmacy Technician compounds and dispenses medical prescriptions under the supervision of a pharmacist. Moreover, an employee in… more
- University of Miami (Miami, FL)
- …monitors robotic machines that dispense medicine into containers. + Prepares and processes medical insurance claim forms and handles insurance claim records. ... Technician. The Pharmacy Technician - Per Diem (U) compounds and dispenses medical prescriptions under the supervision of a pharmacist. Moreover, an employee in… more
- CVS Health (Largo, FL)
- …in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related ... and Resolve:** Handle member inquiries and escalations related to benefits, claims , eligibility, and policy interpretation by identifying root causes, coordinating… more
- IQVIA (Tampa, FL)
- …**Essential Functions and Responsibilities:** + Responsible for **pharmacy prescription claims processing** , translating strategy into proactive plans to enable ... clients and payees. + Identify and manage **payment data related to claims , rebill, and manage overrides.** + Audit readiness and fraud detection-including claw… more
- Carnival Cruise Line (Miami, FL)
- …team to assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management** + Review crew cases of high risk and escalate ... care coordination and utilization reviews. Operationally, the role supports shipboard medical teams, participates in the 24/7 duty rotation, and manages ship… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …chance to invent and to create so that we can provide answers to medical needs that have yet to be addressed. Another Japanese tenet, Jissho-Shugi, means "earning ... teams, and ensuring the highest standards of scientific and medical integrity. The incumbent will be responsible for the...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …in shaping and executing strategic initiatives that enhance the impact of Medical Affairs external stakeholder engagement activities (including those of the managed ... stakeholder engagement, while ensuring alignment with global and US medical strategies and business objectives. **Job Description** **Key Responsibilities Include:**… more