• Appeals and Grievance Analyst

    Point32Health (FL)
    …the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. ... of business. **Job Description** + Act as a member advocate ; clearly communicating the appeal and grievance process and...**Experience** + Required (minimum): 2-4 years' experience as a customer service or member services representative in… more
    Point32Health (08/16/25)
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  • Senior Quality Specialist

    CVS Health (Tallahassee, FL)
    …monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... each and every day. **Position Summary** Acts as an advocate and subject matter expert guiding the business by...to influence and promote change, to continually deliver quality service to both internal and external customers. Performs regular… more
    CVS Health (08/31/25)
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  • Senior Representative, Provider Services

    Molina Healthcare (FL)
    …a managed healthcare setting. **Required Experience** + 3 - 5 years customer service , provider service , or claims experience in a managed care setting. ... healthcare policies and procedures while achieving the highest level of customer service . **KNOWLEDGE/SKILLS/ABILITIES** + Under general supervision, responsible… more
    Molina Healthcare (08/28/25)
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  • Manager, Provider Contracting - Tampa, FL market…

    The Cigna Group (Tampa, FL)
    …RESPONSIBILITIES** + Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (eg, Hospital ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
    The Cigna Group (07/23/25)
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  • Provider Contracting Lead Analyst - South Florida…

    The Cigna Group (Sunrise, FL)
    …+ Manages submission process of contracting and negotiations for fee for service with physicians and ancillaries. + Supports the development and management of ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
    The Cigna Group (07/12/25)
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  • (USA) Home Meal Solutions

    Walmart (Cocoa, FL)
    …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... date control standards eliminating waste guiding peers and providing attention to customer needs assisting customers according to company policies and procedures Be… more
    Walmart (08/11/25)
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  • Prepared Meals and Rotisserie Chicken Associate

    Walmart (Cocoa, FL)
    …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... control standards; eliminating waste; guiding peers and providing attention to customer needs; assisting customers according to company policies and procedures. +… more
    Walmart (08/09/25)
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