- Humana (Tallahassee, FL)
- …level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional , you will play a pivotal role in ... and take the lead on building solutions that make a difference! The Senior Pharmacy Claims Professional analyzes and answers inquiries regarding… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Senior Pharmacy Claims Professional adjudicates pharmacy claims and ... process pharmacy claims for payment. The Senior Pharmacy Claims Professional work assignments involve moderately complex to complex issues where… more
- Humana (Tallahassee, FL)
- …frameworks to maximize ability of limited resources to achieve growth. **The Senior Strategy Advancement Professional ** will support initiatives to develop and ... assess, and translate state requirements into actionable go-to-market strategy. The Senior Strategy Advancement Professional will consult with growth partners… more
- MyFlorida (Tallahassee, FL)
- …as a Pharmacist in accordance with Florida Statute 465 and three years of professional experience in the practice of pharmacy as a licensed pharmacist. A ... 68064819 - SENIOR PHARMACIST Date: Oct 3, 2024 The State...non-extrapolated claim-by-claim reviews, invoice purchase verification reviews, and policy-based claims reviews. ORUs perform both claim reviews and prepayment… more
- Humana (Tallahassee, FL)
- …informaticists to define various clinical concepts and extract clinical information from medical, pharmacy , and lab claims for analytics and modeling purposes + ... + Healthcare or managed care working experience + Experience working with medical, pharmacy , lab claims + Experience working with big data and using… more