- 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
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Associate Vice President (AVP), Medicaid Data Strategy & Enablement, is responsible for ... particularly during new state program implementations and for management of historical claims data . + Create and lead a Medicaid Data Governance Council,… 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
- Elevance Health (Miami, FL)
- **Staff Vice President (VP) Pharmacy Actuary** **Location** May be located in any Elevance Health PulsePoint office preferably in Indianapolis, IN, Atlanta, GA, ... formulary decisions + Calculate the value of Cost of Care including pulling data , building models, and developing appropriate assumptions. + Report the Cost of Care… 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
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …will serve as a strategic thought partner and Chief of Staff to the Vice President of Medical Affairs, providing high-level guidance and operational leadership ... global medical affairs strategy, optimize operational frameworks, and enable data -driven innovation across therapeutic areas. **Job Description** **Key Responsibilities… more
- Highmark Health (Tallahassee, FL)
- **Company :** enGen **Job Description :** **JOB SUMMARY** The Vice President of Solution Delivery is a critical leadership role responsible for overseeing all ... the healthcare industry. + Understanding of health plan operations, including claims processing, enrollment, billing, and customer service. + Proven track record… more
- Akumin (Tampa, FL)
- …education, and ongoing monitoring of productivity and quality. + Collaborating with the Vice President of Revenue Cycle Services to ensure accurate revenue ... as a liaison with clients, which includes producing monthly reports, reviewing data during meetings, monitoring denied claims , analyzing trends, and updating… 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
- 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