- Centene Corporation (Tallahassee, FL)
- …role supports leadership in executing business and technical strategies, overseeing claims process governance, system integration, legal coordination, and ... claims operations, change control, and business implementations. + Lead Claims Process Change Control, including approval of process changes initiated… more
- USAA (Tampa, FL)
- …of what truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager Senior , you will managed complex litigation ... resource for colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison with… more
- USAA (Tampa, FL)
- …makes us special and impactful. **The Opportunity** As a dedicated **Strategic Account Relationship Manager Senior for Claims Optimization** , you will be ... Strong Agile Methodology acumen. + Advanced Data Analysis skills. + Basic Process Mapping Experience. + Accountability for complex tasks and/or projects required. +… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager ** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims...Developing and implementing strategies for greater automation in the claims process , including electronic receipt of … more
- Prime Therapeutics (Tallahassee, FL)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Solution Product Owner - Pharmacy Claims Data **Job Description** The ... for development team members on a day-to-day basis. The Senior Solution Product Owner possesses knowledge of product and...Product Owner role + SAFe Product Owner / Product Manager (POPM) Certification + Experience with minimum viable product,… more
- Healthfirst (FL)
- …Analyst team. Ensurelong-term strategic and short-term tactical Operational needs for process improvement, reporting, and project support are agreed upon and ... culture. + Gather business requirements, develop business rules, and implement process controls and reporting. + Prioritize, and monitor workload to ensure… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Job Summary** The Senior Manager , Medical Writing (MW) will be responsible for leading and advising on medical writing processes and activities for individual ... asset teams to which they are assigned. The Senior Manager , MW will additionally contribute to...across OPDC. He/she will also lead or contribute to process improvements intended to increase project efficiency, quality, and… more
- Elevance Health (Altamonte Springs, FL)
- ** Manager Senior Engineering** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while ... an accommodation is granted as required by law. The ** Manager Senior Engineering** is responsible for providing...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Lumen (Tallahassee, FL)
- …digitally connect the world and shape the future. **The Role** We are seeking a Senior Lead Portfolio Marketing Manager to drive the creation and delivery of ... resources to identify and develop valuable messaging that will drive engaging content. The Senior Lead Portfolio Marketing Manager is expected to be the subject… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …partners ushering all necessary resources through the Promotional Review Committee process , from draft to final approval. **Qualifications:** + Individual should ... or for payment of money during the job application process . We do not require any financial, credit card...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …skills. - Solid working knowledge and understanding of the drug development process , laws, regulations, and guidelines including FDA, ICH, etc. - Able to ... or for payment of money during the job application process . We do not require any financial, credit card...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- RTX Corporation (Largo, FL)
- …that create a safer, more secure world. We have an exciting opportunity for a ** Senior Manager , Supply Chain (SC) Legal Advisor** , who will report to the ... Review and advise SC on performance issues such as claims and insolvency. + Assist the organization in writing...Department of Defense, handles and adjudicates the security clearance process . More information about Security Clearances can be found… more
- LogixHealth (Dania Beach, FL)
- …Billing Operations as needed + Adjusting procedures as necessary to create process efficiencies + Encouraging constructive feedback from staff and between team ... and values + Facilitate meetings within department and make presentations to senior management as needed Qualifications: To perform this job successfully, an… more
- Mass Markets (FL)
- …(TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider ... across multiple countries. We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a-Service (XaaS) cloud technology solutions… more
- Travelers Insurance Company (Orlando, FL)
- …and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Elevance Health (Tampa, FL)
- …internally with Senior level management and legal department throughout investigative process . + May assist in training of internal and external entities. + ... **Investigator Senior ** **Supports the Payment Integrity line of business**...to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health… more
- Walgreens (Naples, FL)
- …for using pharmacy systems to obtain patient and drug information and process prescriptions. If PTCB certified, assists with and coaches pharmacy technicians in ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- ChenMed (Miami, FL)
- …rapidly expanding and we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights ... strategy recommendations in the Medicare Advantage and healthcare industry. This senior -level analyst position has the opportunity for impact and advancement within… more
- Walgreens (Winter Haven, FL)
- …for operating pharmacy systems to obtain patient and drug information and process prescriptions. Assists with and coaches pharmacy technicians in the operation of ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Elevance Health (FL)
- **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Cincinnati, OH; Chicago, IL (preferred). This ... about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior ** measures financial performance of core Carelon products leveraging … more