• Payment Integrity Clinician

    Highmark Health (Tallahassee, FL)
    …solve complex problems representative of a broad range of service and claim scenarios. + Other duties as assigned. Including, but not limited to additional ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the … more
    Highmark Health (11/14/25)
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  • Pharmacy Coordinator

    Highmark Health (Tallahassee, FL)
    …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES** +… more
    Highmark Health (12/18/25)
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  • Director, Risk Management

    Polk County Public Schools (Bartow, FL)
    …to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill and ability required. Reasonable accommodations may ... in administering the various insurance plans. Develops and supervises loss and claim processing procedures for all types of losses, accidents, and injuries. Reviews… more
    Polk County Public Schools (12/18/25)
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  • Leave of Absence Coordinator

    Sedgwick (Orlando, FL)
    …in Financial Services & Insurance Leave of Absence Coordinator **Leave of Absence Representative ** **Our teams connect! We collaborate onsite and have a hybrid work ... payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices.… more
    Sedgwick (12/28/25)
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  • Commercial Manager - Pacific

    CDM Smith (Fort Myers, FL)
    …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those...above. This pay range is a good faith estimate representative of all experience levels for this position based… more
    CDM Smith (11/12/25)
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  • Prior Authorization Technician - Remote

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...environment PHYSICAL DEMANDS The physical demands described here are representative of those that should be met by an… more
    Polaris Pharmacy Services, LLC (12/23/25)
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  • Associate Manager - Valet & Parking Services…

    Towne Park (Miami Beach, FL)
    …- 15% Understands and drives business metrics for forecasting, productivity, claims , customer service, and turnover. Ensures all associates accurately identify and ... safe and efficient manner + Knowledge of Towne Park's claim check, ticketing and key box training, policies and..._The_ **_working conditions and physical demands_** _described here are representative of those that must be met by an… more
    Towne Park (12/12/25)
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  • Senior Manager, Pharmacy Pricing

    RxBenefits (Jacksonville, FL)
    …team also assists with resolving client issues involving performance discrepancies, claims issues, and reporting. The successful Pharmacy Pricing Senior Manager will ... Deal Governance teams for At-Risk accounts + Manage and support the current account claim and data requests + Respond to competing PBM offers to show RxBenefits… more
    RxBenefits (12/10/25)
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  • Account Manager - Valet & Parking Services - Rosen…

    Towne Park (Orlando, FL)
    …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates ... trained in safety and loss prevention procedures + Ensures claims are reported timely and accurately and cooperates with...AND WORK ENVIRONMENT _The physical demands described here are representative of those that must be met by an… more
    Towne Park (12/31/25)
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  • Hospital Valet Attendant - AM/PM - Open…

    Towne Park (Gainesville, FL)
    …- 10% Explains parking rates and retrieval procedures to guests upon arrival. Issues claim checks only after receiving vehicle keys and collects claim checks ... tag, guest folio, location of vehicle, damage survey and claim check receipt from all vehicles taken into the..._The_ **_working conditions and physical demands_** _described here are representative of those that must be met by an… more
    Towne Park (01/01/26)
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