- Highmark Health (Tallahassee, FL)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior ... of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a… more
- Towne Park (Orlando, FL)
- …**Benefits:** Employees are eligible to enroll in medical, dental, and vision insurance , accident insurance , critical illness insurance , hospital indemnity ... and telemedicine benefits. Employees are provided company-paid basic life and AD&D insurance as well as short-term and long-term disability. Employees are also able… more
- Collins Aerospace (Seminole, FL)
- …customer communications and building a robust customer relationship + Supplier Claims /Request for Economical Adjustments (REA's) and mediation management + Conduct ... Establish Risk and Opportunities and Mitigation plans + Domestic travel up to 25% Qualifications You Must Have +...competitive benefits packages include: + Medical, dental, and vision insurance + Three weeks of vacation for newly hired… more
- Highmark Health (Tallahassee, FL)
- …leadership at client organizations. + Act as a trusted advisor and representative of the Highmark enterprise. + Collaborate effectively with internal stakeholders ... the healthcare industry. + Understanding of health plan operations, including claims processing, enrollment, billing, and customer service. + Proven track record… more
- Ryder System (Tallahassee, FL)
- …years or more experience in employment law. + Experience managing employment claims raised with federal and/or state administrative agencies. **SKILLS & ATTRIBUTES** ... your own time and work flow, with minimal oversight ** Travel -** 0 to 10% **Job Category:** Legal **Compensation...welfare benefits, to include medical, prescription, dental, vision, life insurance and disability insurance options, as well… more
- RTX Corporation (Largo, FL)
- …standard provisions. + Review and advise SC on performance issues such as claims and insolvency. + Assist the organization in writing business processes, policies ... and Program Counsel on significant legal problems and issues. + Minimal domestic travel to Raytheon sites as required. **Qualifications You Must Have:** + Typically… more