- Unknown (Tampa, FL)
- Vice President of Medicare and Medicaid Claims About the Company Well-known health insurance provider with a national network of community-based companies ... Role The Company is seeking a Vice President of Medicare and Medicaid Claims to...who is adept at driving metric-driven results, problem-solving using data , and is capable of creatively leveraging resources to… more
- Unknown (Jacksonville, FL)
- Vice President , Customer Success Management About the Company Innovative healthcare technology (HealthTech) company providing cloud-based data solutions ... Hospitals & Clinics Insurance Specialties clinical and quality outcomes claims and payment integrity healthcare data insights...B2B About the Role The Company is seeking a Vice President , Customer Success Management to lead… more
- Unknown (Jacksonville, FL)
- Associate Vice President , Pharmacy & Ancillary Programs About the Company Prestigious provider of risk & claims management services Industry Insurance Type ... Risk Management Non-Profit & Philanthropy Consulting & Professional Services Claims Guard. Go Beyond Guide Home Provider Services Specialties property/casualty… more
- Unknown (Tampa, FL)
- Senior Vice President of Sales About the Company Innovative healthcare technology (HealthTech) company providing cloud-based data solutions Industry ... Healthcare Hospitals & Clinics Insurance Specialties clinical and quality outcomes claims and payment integrity healthcare data insights predictive analytics… more
- The Hartford (Lake Mary, FL)
- …- and to help others accomplish theirs, too. Join our team as we help shape the future. Vice President , Claims Data Science & AI The Hartford is hiring a ... Vice President to lead the Claims Data Science organization. This role is pivotal in transforming the Claims customer journey by aligning AI… more
- Sumitomo Pharma (Tallahassee, FL)
- …seeking a dynamic, highly motivated, and experienced leader for the position of ** Vice President , Regulatory Affairs Oncology** . The candidate must be deeply ... and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with FDA-approved labeling +… more
- Centene Corporation (Tallahassee, FL)
- …not limited to reimbursement strategy, contracting strategy, unit cost management, claims configuration and network operations. + Oversee network development staff ... to network costs and provider contracts. + Oversee analysis of claim trend data and/or market information to derive conclusions to support contract negotiations. +… more
- Norstella (Tallahassee, FL)
- …(RWD)** The Product Marketing Manager, RWD is an individual contributor reporting to the Vice President of Product Marketing. You'll shape and execute GTM for ... * 3-5 years in Product Marketing or Product Management; experience with real-world data ( claims , labs, EMR/EHR, Rx, hub/specialty pharmacy) strongly preferred. *… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Associate Vice President (AVP) of Medicare and Medicaid Encounter Submissions is responsible for ... the integrity, accuracy, and timeliness of submitting encounter data to Centers for Medicare and Medicaid Services (CMS)...are implemented to achieve critical compliance requirements. The Associate Vice President (AVP) of Medicare and Medicaid… more
- AdventHealth (Orlando, FL)
- …and quality improvement of the network as assigned by the Division CFO/Sr VP, Vice President of Revenue Cycle Operations and/or Executive Director Middle Revenue ... role is responsible for providing physician review of utilization, claims management, and quality assurance related to inpatient care,...Cycle/Utilization Management. Reviews data and trends to identify opportunities for utilization improvement… more
