- RELX INC (Boca Raton, FL)
- …including counseling employees on leave applications and ensuring timely adjudication of claims by the Third Party Administrator (TPA) + Entering leave data into ... policy and overseeing state-specific leave requirements + Administering Workers Compensation claims across all US divisions and ensuring timely submission of First… more
- CVS Health (Tallahassee, FL)
- … service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Prime Therapeutics (Tallahassee, FL)
- …Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of ... Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive...collaboratively to provide the highest quality of care and service to our members. If you are looking to… more
- Molina Healthcare (Jacksonville, FL)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Prime Therapeutics (Tallahassee, FL)
- …Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the ... or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations/ claims experience. + Ability to manage workload while simultaneously working… more
- MyFlorida (Gainesville, FL)
- …Title: CONSTRUCTION SENIOR PROJECT MANAGER - 55004297 Pay Plan: Career Service Position Number: 55004297 Salary: $87,380.94 - $113,081.22 Posting Closing Date: ... Department of Transportation employees will be considered for this position Career Service Contact Person: Brenda Morgan Contact Phone Number: ### Contact Email… more
- MyFlorida (Bartow, FL)
- …Working Title: CONSTRUCTION PROJECT MANAGER - 55003726 Pay Plan: Career Service Position Number: 55003726 Salary: $77,526.08 - $100,327.87 Posting Closing Date: ... Department of Transportation employees will be considered for this position CAREER SERVICE CONTACT PERSON: Kelli Bohde CONTACT PHONE NUMBER: ### CONTACT EMAIL… more
- MyFlorida (St. Petersburg, FL)
- …Title: HUMAN SERVICES PROGRAM ANALYST - 64004525 Pay Plan: Career Service Position Number: 64004525 Salary: $39,780.00 annually Posting Closing Date: 08/24/2025 ... standards. + Participates in quality improvement activities, including chart review, in- service programs, and staff meetings. + Faxes Referrals and medical records… more
- MyFlorida (Pensacola, FL)
- …Hearings Working Title: JUDICIAL CLERK I - 72003575 Pay Plan: Career Service Position Number: 72003575 Salary: $36,000.00 Annually Posting Closing Date: 08/22/2025 ... I - 72003575 This advertisement is for a Career Service position located in the Office of Judges of...position located in the Office of Judges of Compensation Claims in Pensacola, FL. Contact Person: Lyna Hickman (Judge… more
- MyFlorida (Tallahassee, FL)
- …Health Working Title: GOVERNMENT ANALYST II - 64080602 Pay Plan: Career Service Position Number: 64080602 Salary: $53,917.08 Posting Closing Date: 08/25/2025 Total ... patterns to include statutory requirements for emergency investigation of 3 malpractice claims in 5-years (Chapters 458, 459 and 466, FS); possible emergency… more