- AC Disaster Consulting (Tallahassee, FL)
- …evolving threats and hazards facing our nation. Position Summary: Job Title: Senior Individual Assistance Program Specialist- Multiple Levels ( Senior Consultant ... for that level, and a corresponding level position must be available. + Senior Consultant II: $90-100k/annual + Managing Consultant: $90-115k/annual + Senior … more
- MyFlorida (Viera, FL)
- SENIOR TRIAL COURT STAFF ATTORNEY - 22009023 Date: Jul 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 855157 Agency: State Courts System Working Title: SENIOR TRIAL COURT STAFF ATTORNEY - 22009023 Pay Plan: State Courts… more
- City of Boca Raton (Boca Raton, FL)
- Senior Assistant City Attorney Print (https://www.governmentjobs.com/careers/bocaratonfl/jobs/newprint/5012767) Apply Senior Assistant City Attorney Salary ... Y2 + Description + Benefits + Questions General Statement of Job The Senior Assistant City Attorney provides high-level, professional legal services in support of… more
- The Cigna Group (Tallahassee, FL)
- …team seeks dedicated, compassionate, and empathetic Japanese speaking Customer Service Senior Representatives to join our team who are genuinely interested in ... points of their lives. In this pivotal role, Customer Service Senior Representatives effectively handle inquiries from customers, clients, or providers received… more
- Bristol Myers Squibb (Tampa, FL)
- …for escalation and resolution of Tier 2 queries, plan interpretation and appeals . + Responsible for ensuring internal processes are documented and updated versions ... are maintained. + Responsible for ensuring Knowledge Articles are updated and provide recommendations for content articles to resolve common questions. + Supports communicating change and develops and delivers ongoing learning/development of functional… more
- CVS Health (Tallahassee, FL)
- …written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals . - Ensures all compliance requirements are satisfied and all ... payments are made against company practices and procedures. - Identifies and reports possible claim overpayments, underpayments and any other irregularities. - Performs claim rework calculations. - Distributes work assignment daily to junior staff. - Trains… more
- Highmark Health (Tallahassee, FL)
- …and decisions including but not limited to: physician and member appeals , member or provider information/education. + Participate on cross-functional committees to ... develop and implement clinical and operational initiatives within Integrated Clinical Services. May participate in outreach efforts as needed to effectively reach goals of Medication Therapy Management programs to include, but not limited to Comprehensive… more
- CenterWell (Tallahassee, FL)
- …to, managing and monitoring all payer requests for additional documentation (ADR), appeals and denials. Works with branch staff to gather required information and ... branch and billing staff to determine appropriate response, manages appeals process. + Monitors and responds to all requests...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- MyFlorida (Fort Myers, FL)
- …and pretrial detainees, and other miscellaneous pre-trial or post-trial criminal issues, appeals from county court (both civil and criminal), and civil matters, ... Work is performed under general supervision of the Supervising Senior Staff Attorney and Judges, and is reviewed in...Division Judges, (3) Assist the Appellate Banc with County-to-Circuit Appeals , (4) Other duties as assigned. Examples of Duties… more
- CVS Health (Tallahassee, FL)
- …solutions. Good with data interpretation. * Effectively communicate these finding to Senior Management and staff at all levels. * Develop and deliver conference ... UM and participate in UM front line work and appeals in markets as needed. * Confer directly with...focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review, and provider … more