• Director Reimbursement Design & Market…

    Highmark Health (Tallahassee, FL)
    …+ 3 years Value-based reimbursement , through managed care contracting, provider reimbursement , consulting, population health delivery or related areas + 4 ... ACO), alternative reimbursement models (eg, bundled payments), and provider / health plan quality programs (eg pay for performance) + 5 years Familiarity with… more
    Highmark Health (07/30/25)
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  • Provider Reimbursement Adm-Certified…

    Elevance Health (Miami, FL)
    …of legislative mandates to support draft development and/or revision of enterprise reimbursement policy . + Translates medical policies into reimbursement ... code and fee schedule updates, analyzing each new code for coverage, policy , reimbursement development, and implications for system edits. + Coordinates… more
    Elevance Health (08/20/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Tallahassee, FL)
    …and maintenance of a self-service platform for providers, entities, and health systems within the Organization's value-based reimbursement programs for ... the overall conceptualization, strategy alignment, and high-level design of new value-based reimbursement models for PCPs, specialists, and health systems across… more
    Highmark Health (08/20/25)
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  • Audit & Reimbursement Senior

    Elevance Health (Tampa, FL)
    …partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our ... onboarding and skill development._ Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...and Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement… more
    Elevance Health (08/26/25)
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  • Field Reimbursement Manager Tzield

    Sanofi Group (St. Petersburg, FL)
    …business-related issues for T1D. In addition, they will help support product reimbursement through compliant support of the PA policy requirements supporting ... Physician reimbursement experience + Experience with complex medical payer policy requirements and coordination of multiple prior authorization needs + Infusion… more
    Sanofi Group (08/17/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
    Humana (08/14/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (West Palm Beach, FL)
    …and biotechnology products + Excellent technical knowledge and expertise in payer policy , including all elements of reimbursement (coding, coverage, and payment) ... At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented,… more
    J&J Family of Companies (08/25/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (Jacksonville, FL)
    …and biotechnology products + Excellent technical knowledge and expertise in payer policy , including all elements of reimbursement (coding, coverage, and payment) ... At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented,… more
    J&J Family of Companies (08/25/25)
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  • Field Reimbursement Manager

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …degree required + Minimum 5 years of pharmaceutical industry experience, with focus on payer policy and reimbursement + At least 3 years of experience in benefit ... **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert...Otsuka Pharmaceutical Development & Commercialization, Inc., and Otsuka Precision Health , Inc. ("Otsuka") does not accept unsolicited assistance from… more
    Otsuka America Pharmaceutical Inc. (08/27/25)
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  • Senior Analyst, Life Sciences Consulting

    Norstella (Tallahassee, FL)
    …Sciences industry and strategy consulting. Analysts will work on projects addressing the reimbursement , pricing, demand creation, health policy , health ... Job ID: R-410 **Description** **About Us** We set out to develop a health care innovation organization that could separate the background "noise" from what warrants… more
    Norstella (08/08/25)
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