- 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
- Sedgwick (Tampa, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr Vice President Business Transformation **PRIMARY PURPOSE** **:** The SVP Business ... solutions. The SVP combines strategic vision with operational rigor, leveraging data -driven insights to solve complex challenges and deliver measurable results And… 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
- 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
- Humana (Tallahassee, FL)
- …Intermountain Region Finance department. The position will report directly to the Regional Vice President of Operations in support of the Medicare Advantage line ... The Market Finance Lead collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. Humana is seeking to… more
- Humana (Tallahassee, FL)
- …and the courage to innovate **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, ... first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Sumitomo Pharma (Tallahassee, FL)
- …seeking a dynamic, highly motivated, and experienced individual for the position of Vice President , Regulatory Affairs, Biopharma R&D. This position leads the ... contact for internal communication + Ensure that development of launch materials/new claims with Marketing, Medical and Legal are guided by applicable regulatory… more
- HCA Healthcare (Trinity, FL)
- …and Patient Safety role today!** **Job Summary and Qualifications** We are seeking a Vice President , Quality and Safety. You will be responsible for developing ... on analysis of risk assessment, historical and concurrent occurrence and claims data and national trends. .You will ensure responsibility for organizational wide… more
- HCA Healthcare (Sun City Center, FL)
- …and Patient Safety role today!** **Job Summary and Qualifications** We are seeking a Vice President , Quality and Safety. You will be responsible for developing ... on analysis of risk assessment, historical and concurrent occurrence and claims data and national trends. . You will ensure responsibility for organizational… more