- CVS Health (Tallahassee, FL)
- …each and every day. **Position Summary** The Lead Director, Pharmacy Appeals will lead a team of 40+ colleagues in the management of pharmacy reimbursement ... Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are...(TATs) and with high accuracy while making sure the team is appropriately staffed and organized. In addition, you… more
- Bank of America (Jacksonville, FL)
- Fraud Analytics and Innovation Lead Analyst - Fraud Strategy Jacksonville, Florida;Plano, Texas; Richmond, Virginia; Sun City West, Arizona; Boston, Massachusetts; ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Jacksonville/Fraud-Analytics-and-Innovation- Lead -Analyst Fraud-Strategy\_25042825-2) **Job Description:** At Bank of America, we… more
- Guardian Life (Tallahassee, FL)
- ** Lead AI Innovation Lead - Data Science...their families. As part of the Data & AI team , this role presents a distinctive opportunity to collaborate with ... Science, actively contributing to Guardian's ongoing evolution. Guardian's Data & AI team spearheads a culture of data insights across Guardian, facilitating the… more
- Acosta Group (Riverview, FL)
- …as needed. * Assist Supervisor by always providing leadership and knowledge to the team . * Possesses the aptitude and ability to gain adequate knowledge of the ... and ability to proactively intercept, engage, interact, and sell product to the consumer in a positive manner. * Able to assist/perform all job responsibilities… more
- Highmark Health (Tallahassee, FL)
- …liaison, bridging the gap between business needs and the analytical technology team . The Senior Decision Support Consultant will leverage technical, analytical, and ... The consultant will act as a senior resource within the team , fostering business-to-technical collaboration and providing strategic consultation directly to… more
- HCA Healthcare (Kissimmee, FL)
- …responds to Quality of Care Concerns. 7. Investigates incidents that could lead to professional/general liability claims ; makes adjustments to patient accounts ... home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts...for benefits may vary by location._** Come join our team as a(an) Manager Patient Safety. We care for… more
- Humana (Tallahassee, FL)
- …market growth and operational effectiveness. This position resides within the Finance team and partners directly with Market CFOs, clinical teams, and provider ... engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion markets. Key Responsibilities: +… more
- CVS Health (Tallahassee, FL)
- …as the Manager of Stop Loss/Reinsurance Operations. In this high impact role, you will lead a team of about 12-15 colleagues who are responsible for the filing ... Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are...of Stop Loss claims to partner Managing General Underwriter (MGU) and Stop… more
- MyFlorida (Tallahassee, FL)
- …is seeking a motivated attorney to join a collaborative and dynamic legal team that investigates and enforces cases under state and federal antitrust laws, Florida ... False Claims Act, Florida securities law, Civil Racketeering and as...and as needed civil complex enforcement of the Florida Consumer Protection Act. The Division's caseload includes cutting-edge and… more
- HCA Healthcare (Orlando, FL)
- …Healthcare difference where colleagues are trusted, valued members of our healthcare team . Grow your career with an organization committed to delivering respectful, ... home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts...are seeking an Outpatient Coding Resolution Specialist for our team to ensure that we continue to provide all… more