- Centene Corporation (Spring Hill, FL)
- …equivalent work experience within a managed care environment related to HEDIS record review , quality improvement, medical coding or transferable skill sets that ... related field. **Candidate Experience:** Required: 1+ year of experience in related HEDIS medical record review or quality improvement with experience in data… more
- Western Digital (Tallahassee, FL)
- …in San Jose, Irvine or remote. ESSENTIAL DUTIES AND RESPONSIBILITIES: + Review , draft and advise on advertising and marketing materials, including packaging, press ... strong familiarity with intellectual property and privacy matters + Prepare, review , and negotiate complex agreements including those for software licensing,… more
- Healthfirst (FL)
- …productivity and quality for each Specialist against expectations + Prepare cases for Medical Director Review ensuring that all pertinent information (ie case ... + Experience in clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management/case management. +… more
- Highmark Health (Tallahassee, FL)
- …action to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + ... as needed to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and… more
- Cardinal Health (Tallahassee, FL)
- …Health's At-Home Solutions ("AHS") business clients, a leading home healthcare medical supplies provider serving people with chronic and serious health conditions ... AHS business unit is comprised of four complementary business units: (1) Edgepark Medical Supplies, a leading mail order supply company that specialize in serving… more
- Deloitte (Miami, FL)
- …and business terms) with PBMS + Experience performing analytical analysis of medical & pharmacy claims , including understanding financial impact of network ... emerging trends and cost drivers + Work directly with medical and PBM vendors to analyze the program offering...+ Implement competitive vendor search and selection initiatives + Review of health plan renewals including assisting in rate… more
- Bowman (Tallahassee, FL)
- …by more senior staff to ensure application of sound techniques and principles. Review work produced by junior staff for quality assurance. **At the Operational and ... of values, various exhibits, partial and final liens. + Review , process, obtain approvals, code and accrue for subconsultant...that may arise as it relates to disputes, or claims + Act as liaison between operations and many… more
- Cardinal Health (Tallahassee, FL)
- …laws including, Antitrust; healthcare laws and regulations, (eg, Anti-Kickback, False Claims Act, and HIPAA); and Marketing and Advertising + Demonstrate excellent ... business teams, including sales, marketing, operations and finance + Review marketing materials related to customer services and FDA...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- City of Boca Raton (Boca Raton, FL)
- …procurement, and employee matters. + Supports the development and legal review of City policies, administrative procedures, and strategic initiatives; ensures ... + Regulatory frameworks and compliance considerations related to development review , public finance, utilities, environmental law, and public infrastructure… more
- MyFlorida (Key West, FL)
- …judgments, post-conviction orders, memoranda or orders concerning extraordinary writs; + Review motions for post-conviction relief brought pursuant to Florida Rule ... criminal, family, and probate divisions, and the county civil, criminal, and small claims divisions; + Perform other related duties as required; + Drafts proposed… more