- Molina Healthcare (Tampa, FL)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- As a senior leader within Medical Affairs, the Executive Director will serve as a strategic thought partner and Chief of Staff to the Vice President of Medical ... internal priorities, this individual will shape the development of best-in-class medical excellence capabilities aligned with Otsuka's vision, direction, and growth… more
- 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 Manager, Medical Core Content is a team-level operational role responsible for the development, maintenance, and day-to-day quality assurance of all core ... scientific and medical content for the relevant therapeutic area. This role...life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k)… more
- Humana (Tallahassee, FL)
- …Operations encompasses critical functions including care coordination, quality measurement, billing, claims processing , and customer service, each essential to ... claims , and customer service). + Collaborate with each Insurance Operations function to identify, understand, and align Stars-related business strategies,… more
- ICW Group (Orlando, FL)
- …with injured workers. + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, ... to get additional information. + Communicates claim activity and processing with the injured worker and insured. + Maintains...college or university preferred. Minimum of 2-3 years of insurance or claims related experience, or equivalent… more
- City of Lakeland (Lakeland, FL)
- …a forum for discussion and adjustment of the processing of all insurance and self-insured claims in workers' compensation, property and casualty, general and ... the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements… more
- Cardinal Health (Doral, FL)
- …getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and.... + Acts as a subject matter expert in claims processing . + Manages billing queue as… more
- MyFlorida (Bay Pines, FL)
- …liaison with VA outpatient staff regarding case development and treatment to support claims processing and advocacy issues. Confer with clinic, service center ... + Assist all accredited organizations, state, county or others in obtaining medical information necessary to support claims for benefits. Maintain rapport… more