- MyFlorida (Tallahassee, FL)
- …completeness, and perform the data entry of the document information into the applicable claims management system , at the rate in which the correspondence was ... - 41000642 Date: Jan 14, 2026 The State Personnel System is an E-Verify employer. For more information click...Vendor Relations, correction of payment rejections, documenting activities in claims , etc. Support the OMC-II whose primary duties are… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …(KOLs), Digital Opinion Leaders (DOLs), Payers/Access Stakeholders, Academic/Integrated Health Systems , Patients/Caregivers, and Patient Advocacy Groups. The role is ... input from KOLs and Payers on trial design and clinical/economic value). ** System and Data Management** + Coordinate with stakeholder engagement liaisons (from GMA,… more
- Sedgwick (Tallahassee, FL)
- …departments for data accuracy. + Maintain and verify client parameters in the claims management system ; research and resolve issues. + Communicate process and ... equivalent combination of education and experience required. Experience in multi-line claims management processes and system requirements strongly preferred.… more
- MyFlorida (Tallahassee, FL)
- SR WORKERS' COMPENSATION EXAMINER - 43001337 Date: Jan 8, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... EXAMINER DIVISION: RISK MANAGEMENT BUREAU: STATE EMPLOYEE WORKERS' COMPENSATION CLAIMS CITY: TALLAHASSEE COUNTY: LEON SPECIAL NOTES: Preferences: +...If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how… more
- Elevance Health (Lake Mary, FL)
- …to create predictive impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results ... Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider… more
- The Walsh Group (Miami, FL)
- …scenarios and develops contingency plans. + Acts as an experienced resource for claims and mitigations. + Produces complex modeling and ensures scheduling system ... paths, float trending, percent complete, float ownership, and constraints + Claim experience required + Time impact analysis experience required + Significant… more
- Elevance Health (Lake Mary, FL)
- …visits, referral practices, and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results ... organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network… more
- Highmark Health (Tallahassee, FL)
- …participate in and support project meetings related to underwriting system enhancements, financial modeling tool development, and overall operational efficiency ... rates utilizing Company rating algorithms, adjusting accordingly to cover questionable claim patterns or unusual situations not otherwise contemplated within the… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …under the Facility Management Services of the North Florida/Sought Georgia VA Healthcare System . North Florida South Georgia Veterans Health System is a ... in the practice of medicine, and to improve health service delivery systems for communities and within individual VA facilities (medical centers, outpatient clinics,… more
- Lee County Board of County Commissioners (Fort Myers, FL)
- …safely and reliably. In this role, you'll work hands-on with the electrical systems that keep our water and wastewater treatment plants operating smoothly. You'll be ... Responsibilities What You Will Do + Keep essential water/wastewater treatment systems running. Install, maintain, and repair electrical equipment at treatment plants… more