- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …with, and/or be a critical partner to Early Phase & Translational Medical , Clinical Development, Value and Real-World Evidence, Regulatory, Medical Affairs, ... on study concepts and study protocols in governance meeting and review processes + Prepare reports and presentations summarizing findings, recommendations and… more
- HCA Healthcare (Pensacola, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Sedgwick (Tallahassee, FL)
- …new business plan with goals and objectives for assigned locations/offices; provides expert medical and product support to Sedgwick claims and clinical staff. ... and high quality delivery of case management and utilization review services to clients for multiple business lines; and...education and experience required to include five (5) years medical case management, two (2) years clinical experience, two… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... territory plans through partnerships with internal and external stakeholders + Review and educate offices on payer policies, including prior authorization… more
- Prime Therapeutics (Tallahassee, FL)
- …Thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical + Self learns new processes/software ... experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to… more
- Kubicki Draper (Tampa, FL)
- …insurance defense experience. Must have experience litigating third-party bodily injury claims and handling extensive personal injury claims , including ... brain injuries, significant injuries to property or business, and wrongful death claims . Trial experience is strongly desired. Your Day-to-Day: + Draft/ review … more
- University of Miami (Miami, FL)
- …potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct additional investigation ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The department of… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …and Risks will be reported periodically to Senior Management through the Management Review process to ensure alignment with Company policy and strategy and gain a ... develops systems for Clinical vendor management and vendor oversight. + **Management Review :** Establish and maintain a system to ensure R&D Management Reviews are… more
- Elevance Health (Tampa, FL)
- …law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent… more
- Orlando Utilities Commission (Orlando, FL)
- …Rewards package includes to cite a few:** + Competitive compensation + Low-cost medical , dental, and vision benefits and paid life insurance premiums with no ... ensuring positive communication and assistance. + Manages the administration of medical , dental, vision, and other health benefits, including data tracking and… more