- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for leading a ... global team focused on R&D Quality . This global role includes direct reports in the...Company policy and strategy and gain a consensus of risk mitigation approaches. **Key Responsibilities:** + **Inspection Readiness:** Ensure… more
- Banner Health (FL)
- …different focuses (Facility vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5 years of acute care ... team that values growth and development! This is a Quality position, not a day-to-day coding production role but...to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials… more
- Defense Contract Management Agency (Orlando, FL)
- …Responsibilities Performs duties associated with the administration of the quality assurance provisions of contracts by designing, implementing, and maintaining ... a risk -based surveillance program and assessment plan. Identifies opportunities for...multi-functional or technical team. Responsible for implementing the overall Quality Program for a diversity of products and services… more
- Defense Contract Management Agency (Miami, FL)
- …Responsibilities Performs duties associated with the administration of the quality assurance provisions of contracts by designing, implementing, and maintaining ... a risk -based surveillance program and assessment plan. Identifies opportunities for...multi-functional or technical team. Responsible for implementing the overall Quality Program for a diversity of products and services… more
- Sedgwick (Tampa, FL)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... to ensure matters are resolved optimally while creating a culture of continual quality improvement designed to elevate the overall claim handling to benefit our… more
- Evolent (Tallahassee, FL)
- …for the culture. **What You'll Be Doing:** Job Description **Analyst, Integration Quality ** Integration testing in the healthcare ecosystem requires complete end to ... test execution + Consult with the manage and report risk , issues, and decisions with the lead / manager...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Polk County Public Schools (Bartow, FL)
- …risk management administration. This position gathers information, reviews claims , communicates and coordinates information to third-party administrators (TPA), ... Polk County Public Schools is to provide a high quality education for all students. To perform this job...* Assists in obtaining documents and information related to claims and/or lawsuits involving the District's risk … more
- Travelers Insurance Company (Tampa, FL)
- …reserving, negotiating and resolving assigned Construction Defect and Latent Property Damage claims . Provides quality claim handling throughout the claim life ... partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and...external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse… more
- Travelers Insurance Company (Tampa, FL)
- …reserving, negotiating and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim life ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and...external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse… more
- Sedgwick (Orlando, FL)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinating investigative efforts, thoroughly reviewing contested claims… more