- Humana (Tallahassee, FL)
- …and help us put health first** We are seeking a seasoned and strategic Director , Tax Accounting to lead our tax accounting and reporting function within a complex, ... Occasional travel to Humana offices may be required. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- Prime Therapeutics (Tallahassee, FL)
- …decision we make. **Job Posting Title** Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical Trade Relations is ... responsible for managing Prime's Trade Relations program(s) for medical and pharmacy formulary and market access strategies and...with specific emphasis on Medicare Part D and Managed Medicaid . The Sr Director , Pharm Trade Relations… more
- Humana (Tallahassee, FL)
- …to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- Prime Therapeutics (Tallahassee, FL)
- …Dir - Remote **Job Description** The Pharmaceutical Trade Relations Senior Director is responsible for managing Prime's Trade Relations program(s) for medical ... perspective to external partners (ie, pharmaceutical manufacturers, clients, marketplace, medical professionals, etc.) and communicate to ensure understanding of… more
- Actalent (Sunrise, FL)
- …and appropriateness, utilizing standardized Review Criteria. + Coordinate with the Medical Director /Physicians for requests outside standard Review Criteria. + ... addressing discrepancies. + Serve as a liaison between the Medical Director , physicians, and office staff, resolving...Utilization management + Interqual + Milliman Commercial Guidelines + Medicaid + Medical management + Medicare +… more
- Humana (Tallahassee, FL)
- …of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with care ... plays a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's total revenue and earnings.… more
- Humana (Tallahassee, FL)
- …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of healthcare records +… more
- HCA Healthcare (Orange Park, FL)
- …team members over the course of three years. **This is a remote /work from home position.** **Sign-On Bonus Eligible - Flexible Schedule!** **Benefits** Parallon, ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...Attend state and national educational activities as approved by Director + Submit data to the National Cancer Data… more
- Humana (Tallahassee, FL)
- …gaps. They will work closely with established functions inside utilization management ( Medical Director , clinician decision making teams, quality audits, prior ... years + experience working with CMS Compliance Regulations + Experience working with medical directors in some capacity ie Committees, projects. + 3 or more years'… more
- Humana (Tallahassee, FL)
- …care or provider sector **Reporting Relationships** The role reports to a Director within the Strategy team, works collaboratively with leaders and members of ... and with senior leadership throughout the enterprise. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more