- Sedgwick (Orlando, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Implementation Project Manager **PRIMARY PURPOSE** **OF THE ROLE** To serve as the ... and experience required to include two (2) years of claims management, managed care or other related experience. **Skills...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Centene Corporation (Tallahassee, FL)
- … medical provider office, customer service within a healthcare organization, and medical claims . Knowledge of health care, managed care, Medicare or ... up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting… more
- Carnival Cruise Line (Miami, FL)
- …team to assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management** + Review crew cases of high risk and escalate ... care coordination and utilization reviews. Operationally, the role supports shipboard medical teams, participates in the 24/7 duty rotation, and manages ship… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …chance to invent and to create so that we can provide answers to medical needs that have yet to be addressed. Another Japanese tenet, Jissho-Shugi, means "earning ... cross-functional study teams, and ensuring the highest standards of scientific and medical integrity. The incumbent will be responsible for the design and oversight… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …in shaping and executing strategic initiatives that enhance the impact of Medical Affairs external stakeholder engagement activities (including those of the managed ... stakeholder engagement, while ensuring alignment with global and US medical strategies and business objectives. **Job Description** **Key Responsibilities Include:**… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …execution, and operational oversight of evidence generation initiatives, independent medical education (IME) grants, and external sponsorship payments within the ... Medical Affairs organization. This role ensures all activities are...life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k)… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …is crucial in driving operational excellence and innovation within our Global Medical Affairs organization, with a specific focus on the relevant therapeutic area ... a pivotal role in shaping and implementing best practices and ensuring efficient medical affairs processes are in place. This position reports directly into the… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …Scientific Communications manages the execution of the core scientific and medical communications strategy for the relevant therapeutic area portfolio. This role ... plan. This position provides guidance, coaching, and oversight to the Manager, Medical Core Content, ensuring all materials are developed with scientific accuracy,… more
- Zelis (FL)
- …based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... concepts to expand the DRG product. + Manage assigned claims and claim report, adhering to client turnaround time,...paid time off, holidays, parental leaves, life and disability insurance , and health benefits including medical , dental,… more
- Sedgwick (Tampa, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICA Systems Analyst **PRIMARY PURPOSE OF THE ROLE:** To design and ... INCLUDE** + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more