- MyFlorida (Alachua, FL)
- …Estimator Tool (https://compcalculator.myflorida.com/) Department of Health Division of Medical Quality Assurance Bureau of Enforcement Investigative Services Unit ... + Investigations include interviewing source, subject, and appropriate witnesses. + Review court records and other essential documents, conducts audits and… more
- TEKsystems (Tampa, FL)
- …to support patients who are uninsured, underinsured, or facing high out-of-pocket medical and prescription expenses. This role is integral to helping patients access ... to patients and healthcare providers regarding specialty prescriptions. + Review and process patient applications, including insurance investigations and financial… more
- MyFlorida (Tallahassee, FL)
- …registering, inspecting, and investigating the manufacturing, distributing, and sale of drugs, medical gases, and cosmetics in the State of Florida. The Program ... must be a highly motivated individual with excellent technical skills to review , evaluate, and process complex initial and renewal applications from persons seeking… more
- Amentum (Cape Canaveral, FL)
- …and conduct E-Verify for new hires. + Manage workers' compensation claims and coordinate follow-up documentation. + Document, process, and maintain records ... policy. + Prepare standard reports to respond to customer queries. + Review documentation for completeness and necessary approvals. + Comfortable handling sensitive… more
- Elevance Health (Miami, FL)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- Trinity Health (Fort Lauderdale, FL)
- …response, and progress in patient's chart or enter information into computer.** Review physician's referral and patient's medical records to help determine ... to managing patient care, specifically for the OP Therapy Cap and Claims -Based Outcomes Reporting (ie G codes).** Administer manual exercises, massage and/or… more
- CVS Health (Tallahassee, FL)
- …frontline advocates for members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Trinity Health (Fort Lauderdale, FL)
- …response, and progress in patient's chart or enter information into computer. Review physician's referral and patient's medical records to help determine ... to managing patient care, specifically for the OP Therapy Cap and Claims -Based Outcomes Reporting Flexibility in working in several clinical locations (ie… more
- Sumitomo Pharma (Tallahassee, FL)
- …regulatory submissions by preparing responses to agency inquiries and contributing to labeling claims . + Review Case Report Forms (CRFs) to ensure data ... teams-including clinical development, clinical operations, data management, programming, and medical writing-to maintain the statistical integrity of study conduct.… more
- CVS Health (Tallahassee, FL)
- …frontline advocates for members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more