• Senior Encounter Data Management Professional

    Humana (Tallahassee, FL)
    …skills to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
    Humana (08/15/25)
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  • Senior Director, Global Clinical Development CNS

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …in accordance with states and local laws. **Company benefits** : Comprehensive medical , dental , vision, prescription drug coverage, company provided basic life, ... drug development programs, including: + Understanding pharmacology of drugs and unmet medical needs. + Formulating a rationale to develop the drug in accordance… more
    Otsuka America Pharmaceutical Inc. (07/16/25)
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  • (USA) Certified Pharmacy Technician,…

    Walmart (Orlando, FL)
    …issues for example systems insurance stock processing information for thirdparty insurance claims coordinating with insurance companies to resolve ... rejections interpreting thirdparty return messages reject codes and insurance problem descriptions reprocessing thirdparty claims using the correct procedures to… more
    Walmart (09/04/25)
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  • Pharmacy Tech Sam's part-time

    Walmart (Coral Springs, FL)
    …prescription fulfillment process when necessary by processing information for thirdparty insurance claims rescanning illegible images alerting patients to ... pharmacist in the prescription fulfillment process processing third party insurance claims andor rejections assisting patientsmembers with...mind, body, and wallet! ‎ - Health benefits include medical , vision and dental coverage ‎ -… more
    Walmart (08/20/25)
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  • Clinical Provider Auditor II

    Elevance Health (Miami, FL)
    …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines...bonus programs (unless covered by a collective bargaining agreement), medical , dental , vision, short and long term… more
    Elevance Health (09/06/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines...bonus programs (unless covered by a collective bargaining agreement), medical , dental , vision, short and long term… more
    Elevance Health (09/04/25)
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  • Provider Reimbursement Adm-Certified Professional…

    Elevance Health (Miami, FL)
    …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...bonus programs (unless covered by a collective bargaining agreement), medical , dental , vision, short and long term… more
    Elevance Health (09/04/25)
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  • Revenue Cycle Analyst

    Robert Half Accountemps (Orlando, FL)
    …are available to contract/temporary professionals, including medical , vision, dental , and life and disability insurance . Hired contract/temporary ... optimizing healthcare revenue cycle processes, ensuring the accuracy of medical billing, and managing claims with diligence....the accuracy of medical billing, and managing claims with diligence. This is an excellent opportunity for… more
    Robert Half Accountemps (08/28/25)
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  • Senior Director, ADHD Brand Lead

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …in accordance with states and local laws. **Company benefits** : Comprehensive medical , dental , vision, prescription drug coverage, company provided basic life, ... this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease… more
    Otsuka America Pharmaceutical Inc. (08/26/25)
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  • Associate Director, Established Brands Marketing

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …in accordance with states and local laws. **Company benefits** : Comprehensive medical , dental , vision, prescription drug coverage, company provided basic life, ... CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product… more
    Otsuka America Pharmaceutical Inc. (08/15/25)
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