- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Job Summary** The Senior Director, Medical Communications, Nephrology & Immunology directs and provides strategic leadership for the global scientific ... directing the development and dissemination of all core scientific and medical content (eg, global slide decks, congress abstracts/presentations, publications, … more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- The Senior Director, Medical Communications, CNS directs and provides strategic leadership for the global and US scientific communication strategy for the assigned ... directing the development and dissemination of all core scientific and medical content (eg, global slide decks, congress abstracts/presentations, publications, … more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- The Director, Strategic Planning & Operations is a pivotal role within the Medical Excellence & Operations team within Global Medical Affairs. This role is ... responsible for overseeing 3 medical business unit specific Strategic Planning roles (CNS, Nephrology & Immunology, and Rare Disease), as well as one strategic… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters,… more
- USAA (Tampa, FL)
- …Opportunity** As a dedicated Complex Auto Adjuster, you will adjust highly complex auto insurance claims presented by or against our members to include the ... knowledge of P&C insurance industry products, services, to include P&C insurance policy contracts, coverages and internal claims handling process and… more
- Humana (Tallahassee, FL)
- …coding certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, ... Qualifications** + BS in healthcare or business-related field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims… more
- Elevance Health (FL)
- …teams responsible for building, scaling, and maintaining platforms for: + Medical Cost Management ( claims review, payment integrity, utilization management, ... **Staff VP Engineering** - Medical Cost Management & Cost of Care **Location:**...for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and clinical insights platforms that enable… more
- Sedgwick (Tallahassee, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claim Examiner - Liability | Remote **PRIMARY PURPOSE** : To analyze complex or ... technically difficult general liability claims to determine benefits due; to work with high...**Skills & Knowledge** + Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets… more
- Sedgwick (Orlando, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative **Disability Representative** **Our teams connect! We collaborate ... your 2+ years' experience in a office setting or medical experience and grow with us! + A stable...professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability… more
- USAA (Miami, FL)
- …guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will ... prepare claims estimates to manage complex property insurance claims . + Supports workload surges and...medical , dental and vision plans, 401(k), pension, life insurance , parental benefits, adoption assistance, paid time off program… more