• Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
    Elevance Health (09/04/25)
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  • Provider Reimbursement Adm-Certified Professional…

    Elevance Health (Miami, FL)
    …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
    Elevance Health (09/04/25)
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  • Associate Director, Field Strategy, Nephrology

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...place for the position will be considered Otsuka's sole property . No fee will be paid if a candidate… more
    Otsuka America Pharmaceutical Inc. (09/03/25)
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  • Director, Early Commercial Planning

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...place for the position will be considered Otsuka's sole property . No fee will be paid if a candidate… more
    Otsuka America Pharmaceutical Inc. (09/03/25)
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  • Senior Director, Global Quality Strategy…

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...place for the position will be considered Otsuka's sole property . No fee will be paid if a candidate… more
    Otsuka America Pharmaceutical Inc. (09/03/25)
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  • Clinical Fraud Investigator II

    Elevance Health (Tampa, FL)
    …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
    Elevance Health (08/30/25)
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  • Network Data Specialist I

    Elevance Health (Tampa, FL)
    …I** is responsible for accurate and timely maintenance of provider information on claims and provider databases. **How You Will Make an Impact** Primary duties may ... to: + Assists in synchronization of data among multiple claims systems and application of business rules as they...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
    Elevance Health (08/28/25)
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  • Associate Director, Small Molecule Analytical…

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...place for the position will be considered Otsuka's sole property . No fee will be paid if a candidate… more
    Otsuka America Pharmaceutical Inc. (08/27/25)
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  • Senior Director, ADHD Brand Lead

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...place for the position will be considered Otsuka's sole property . No fee will be paid if a candidate… more
    Otsuka America Pharmaceutical Inc. (08/26/25)
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  • Senior Manager, Global Regulatory Affairs

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...place for the position will be considered Otsuka's sole property . No fee will be paid if a candidate… more
    Otsuka America Pharmaceutical Inc. (08/22/25)
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