• Senior Analyst, Project Management

    CVS Health (Tallahassee, FL)
    …regulations, and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post ... go-live validation + QNXT Experience + Familiarity with clinical and code editing concepts and products (Example: ClaimsXten, Cotiviti PPM & CV) + Extensive knowledge of CPT, HCPCS, ICD-10 coding **Preferred Qualifications** + Prior Relevant Work Experience… more
    CVS Health (11/23/25)
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  • CPC Processor Customer Support - Remote…

    Datavant (Tallahassee, FL)
    …following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents + Ability to ... stay organized while working quickly. Strong attention to detail is also required. + Passing annual Introductory HIPAA examination. (Testing to be given annually in accordance with employee review.) + Required to take and pass a 90-day ROI Certification course… more
    Datavant (11/22/25)
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  • Paralegal

    West Marine (Fort Lauderdale, FL)
    …relating to all risk management and legal matters including- insurance claims , customer related issues, lawsuits, notices, responses, subpoenas, pleadings and ... build partnerships, and accomplish critical business objectives. + Assist with the processing and onboarding of new trade vendors, non-trade vendors and consultants.… more
    West Marine (11/22/25)
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  • Executive Administrative Assistant

    JPMorgan Chase (Miami, FL)
    …external events, including catering and transportation + Process invoices and T&E expense claims for team members, ensuring all policies are followed and items are ... banking, consumer and small business banking, commercial banking, financial transaction processing and asset management. We offer a competitive total rewards package… more
    JPMorgan Chase (11/22/25)
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  • Fraud and Waste Investigator

    Humana (Tallahassee, FL)
    …Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a ... corporate environment and understanding of business operations **Additional Information** **Work at Home Requirements** * At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is… more
    Humana (11/21/25)
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  • Manager, Pharmacy Healthcare Analytics…

    Molina Healthcare (Jacksonville, FL)
    …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of ... SQL 2005/2008 SSRS report development + Familiar with relational database concepts, and SDLC concepts **Preferred Education** Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field. **Preferred Experience** 3 - 5… more
    Molina Healthcare (11/21/25)
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  • VP, Medical Economics

    Molina Healthcare (FL)
    …health care operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) * Advanced understanding on health care ... financial terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as… more
    Molina Healthcare (11/21/25)
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  • Assistant Director of Patient Care Services…

    Lake Erie College of Osteopathic Medicine (Defuniak Springs, FL)
    …received by the patient clinic with an understanding of dealing with and processing Florida Medicaid and Medicare; + Possess a strong sense of patient advocacy, ... responsibility for protocols that will aid patients in the reimbursement of insurance claims ; + Assist in the recruitment, interviewing, and hiring of faculty and… more
    Lake Erie College of Osteopathic Medicine (11/21/25)
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  • Marketing Representative (Field) South Florida

    Philadelphia Insurance Companies (Lake Mary, FL)
    …- Develops referrals from each qualified appointment. - Submits qualified submissions for processing to Underwriter in complete form with a request for quotation by ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
    Philadelphia Insurance Companies (11/21/25)
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  • Assistant Branch Manager - Sales Manager Trainee

    Republic Finance, LLC (Tampa, FL)
    …performing risk analysis, making credit decisions, administering loan closings, and processing insurance claims . Your management abilities shine as you ... assist the Branch Manager with recruiting and training as well as developing and implementing plans to meet sales goals while promoting our core values, and ensuring an outstanding customer experience. If you love digging in to get the job done and seeing your… more
    Republic Finance, LLC (11/21/25)
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