- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Clinical Pharmacist Lead will be part of an interactive team with broad exposure and scope ... Pharmacist Lead will_ primarily be responsible for the development of innovative clinical programs that improve member health outcomes and ultimately reduce the… more
- CenterWell (Tallahassee, FL)
- …part of our caring community and help us put health first** The Associate Director, Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, ... (CMS), other payers, and over government agencies. In addition, the Associate Director, Risk Adjustment oversees all medical coding education activities. The… more
- Sumitomo Pharma (Tallahassee, FL)
- …assets, and in-house advanced technology capabilities, we aim to accelerate discovery, research , and development to bring novel therapies to patients sooner. For ... website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. **Job Overview** The Senior Manager , Medical Strategy (Oncology) will be a key member of the… more
- Humana (Tallahassee, FL)
- …needs and achieve specific cost and success outcomes. The Lead Product Manager partners across various multi-disciplinary teams at Humana to define, design, and ... to help drive improved health outcomes for our members. The Lead Product Manager sits in the center of strategy, design, engineering, pharmacy, and operations and… more
- Conviva (Tallahassee, FL)
- …Wholly Owned & IPA Medical Coding teams and creates strategies to maximize associate output. The lead owns the end-to-end process to continuously improve and create ... with coding leaders/teams. + Monitor quality and address performance gaps. + Research and interpret correct coding guidelines and internal business rules to respond… more
- CenterWell (Tallahassee, FL)
- …Risk Professional develops and implements compliance policies and procedures. Research compliance issues and recommends changes that assure compliance with ... as it relates to healthcare compliance in Medicare, Medicaid, and/or clinical industries (includes anti-kickback and Stark statutes, government fraud, waste, and… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** Humana is seeking an associate for a Legal Counsel role to provide support to Humana's Medicare Part D health ... plan, pharmacy benefit manager , and pharmacy legal entities. Legal Counsel will support...range of contracts and supporting documents for commercial and clinical activities. **Use your skills to make an impact**… more