• Technical Product Manager - AI

    CVS Health (Tallahassee, FL)
    …+ Strong verbal and written communication skills + Experience with claims /payor/ payment operations, healthcare technology, or enterprise SaaS + Experience ... or a related quantitative field + Master's degree or MBA preferred **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The typical pay range for… more
    CVS Health (09/19/25)
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  • Business Systems Analyst

    The Walt Disney Company (Kissimmee, FL)
    …member, the Business Systems Analyst is responsible for maintaining day-to-day claims systems support and project managing new technologies within Risk Management. ... + Excellent interpersonal and relationship-building skills. + Ability to provide after- hours on-call support in a team rotation, including weekends and holidays.… more
    The Walt Disney Company (09/19/25)
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  • Analyst II, RWD Delivery Support & Education

    Norstella (Tallahassee, FL)
    …confidence. * User Education & Onboarding o Lead platform onboarding sessions, office hours , and hands-on trainings to ensure customers are equipped to realize value ... or consulting for life sciences companies. * Understanding of RWD, including lab, EMR, claims , and SDoH data assets * Ability to work collaboratively in a team… more
    Norstella (09/19/25)
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  • Utilization Management Registered Nurse Part Time

    AdventHealth (Daytona Beach, FL)
    …the team:** + Monitors admissions and performs initial patient reviews within 24 hours of admission; and when warranted by length of stay, utilization review plan, ... the multi-disciplinary care team to effect timely, appropriate management of claims . **The expertise and experiences you'll need to succeed:** **Minimum… more
    AdventHealth (09/18/25)
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  • Generalist, Human Resources - Citywalk Operations…

    NBC Universal (Orlando, FL)
    …Member discipline and performance issues. Investigates workplace situations, including claims of harassment, discrimination, and policy violations. Supports decision ... reviews, work authorization expiration notifications, No Pay Report follow-up, Average Hours report, job descriptions, , talent review, staffing assistance for job… more
    NBC Universal (09/18/25)
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  • Coordinator, Benefits Eligibility…

    Cardinal Health (Tallahassee, FL)
    …to radiation, chemotherapy, PET/CT, urology and scans + Follow up within 48 hours on any existing authorizations that are pending approval + Ensure proper ... with all RCM and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintain a high… more
    Cardinal Health (09/18/25)
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  • Pharmacist

    Walgreens (Destin, FL)
    …ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with ... 1676877BR **Title:** Pharmacist **Company Indicator:** Walgreens **Employment Type:** Flexible hours **Job Function:** Retail **Full Store Address:** 977 HIGHWAY 98… more
    Walgreens (09/16/25)
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  • Manager Central Pricing Office

    BayCare Health System (Clearwater, FL)
    …Skills also includes:** Understanding of insurance contracts, insurance benefits, claims analysis, billing, and coding. **Facility:** BayCare Health System, Central ... **Location:** **BayCare Central Billing Office** **Status:** **Full Time, Exempt: Yes** **Shift Hours :** **7-4** **Shift:** **Shift 1** **Shift 1 = Days, 2 =… more
    BayCare Health System (09/16/25)
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  • Certified Pharmacy Technician (CPhT)

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …benefits + Participate in various Pharmacy-related projects + Review pharmacy claims for appropriateness + Perform Quality Assurance audits. + Work schedule ... between the hours of 8AM and 6PM, Monday through Friday [shifts available include: 8AM - 5PM and 9AM - 6PM (with one hour of lunch)]. Will work remotely on weekends… more
    DOCTORS HEALTHCARE PLANS, INC. (09/14/25)
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  • Lead Analyst, Healthcare Analytics- Managed care…

    Molina Healthcare (St. Petersburg, FL)
    **JOB DESCRIPTION** Candidates must be located in California and work PST hours . **Job Summary** Performs research and analysis of complex healthcare claims ... data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.… more
    Molina Healthcare (09/11/25)
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