- PedIM Healthcare (Crystal River, FL)
- …work independently and meet deadlines. Familiarity with insurance claim submission and payer requirements. Schedule This is NOT a remote position. This position ... reports to the Billing Manager. The schedule is M-F, 8:30AM-5:00PM. Apply today Apply at www.pedimhealthcare.com (click on Our People, click on Careers) Final applicant must undergo a background screen EOE PM20 Compensation details: 16-18 Hourly Wage… more
- Cognizant (Tallahassee, FL)
- **Health Payer Business Analyst, Senior Consulting Manager** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client engagement, ... projects and digital transformation initiatives * Deep understanding of payer functions and Medicaid plan implementations, including enrollment, billing, claims,… more
- Wolters Kluwer (Tallahassee, FL)
- …a solid understanding of risk adjustment in the Healthcare Technology space, experience with Payer , Provider, and Vendor, and be a true hunter, as this role covers ... equivalent experience + Experience in the healthcare technology space either in payer , vendor, or risk assessment. + Experience working with risk adjustment… more
- Highmark Health (Tallahassee, FL)
- …+ Plans, designs/builds, tests, implements, and supports the needs of Epic Payer Platform software. + Analyzes and determines system requirements and specifications. ... Performs and documents workflow analysis while evaluating user experience. Supports and maintains environments or applications using domain knowledge. Creates and maintains documentation and training materials regarding the implementation of applications. +… more
- Cardinal Health (Tallahassee, FL)
- …and strategic individual contributor responsible for developing and securing transformative payer contracts for Edgepark and Advanced Diabetes Supply Group (ADSG). ... high-impact, data-driven presentations to C-suite and executive leaders within payer organizations, translating complex clinical and operational data into clear… more
- Merck (Tallahassee, FL)
- …with internal stakeholders to support seamless patient access to therapy * Monitor payer trends to address access barriers * Provide access information to HCP ... design (Commercial, Medicare, Medicaid) * Answer questions about coverage, including payer -specific access questions * Maintain deep knowledge of regional and… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and ... Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …This individual will lead the evolution of the brand/portfolio value proposition to US payer and channel customers. This role is based in Princeton with remote work ... areas + Lead market access channel assessments, including direct brand-specific payer /advocacy market research activities and build recommendations on the best way… more
- Ascendis Pharma (FL)
- …Research strategies that support Medical and Commercial health system and payer engagement across Ascendis's entire pipeline and product portfolio, leveraging deep ... components of the value narrative of Ascendis products for payer engagement, with a focus on the communication of...alignment with HEOR goals and objectives. + Establish a payer channel partnership interest and capabilities assessment tool for… more
- Danaher Corporation (Orlando, FL)
- …a provider / customer facing role responsible for delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics. ... issues for Medicare, Medicaid and Commercial payers through internal meetings, payer research, and customer meetings. + Proactively and reactively navigate and… more
