- Humana (Tallahassee, FL)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- MyFlorida (Bunnell, FL)
- …Salary: 34,389.94 yearly Posting Closing Date: 08/24/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE Your Specific ... involve processing Medicaid HMO's, Medicare and third party/commercial insurance claims . Responsible for reviewing insurance web portals for eligibility,… more
- Stantec (Orlando, FL)
- …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... written communications, including Change notifications, Change Requests, responses to Claims notifications, etc. within the timeframes required by the Contract… more
- Molina Healthcare (FL)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- Walmart (Orlando, FL)
- …rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and ... example, systems, insurance, stock); processing information for third-party insurance claims ; coordinating with insurance companies to resolve rejections; interpreting… more
- MyFlorida (Deland, FL)
- …$80,000.00 - $90,000.00 Posting Closing Date: 09/01/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) STATE OF FLORIDA DEPARTMENT OF ... conveyance documents. Responsible for representation in defense of the Department in claims of inverse condemnation, as assigned. The Difference You Will Make:… more
- Molina Healthcare (St. Petersburg, FL)
- …across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation , general liability, medical ... Medicaid, Medicare, and Marketplace populations. + Collaborate with legal, claims , provider relations, finance, and compliance departments to ensure coordination… 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
- Community Health Systems (Naples, FL)
- …impact patient care and system performance. **What We Offer** + Competitive Compensation + Comprehensive Benefits: Medical, Dental, Vision, Life Insurance + Generous ... Safety Officer or collaborate with one to support quality and safety initiatives. ** Claims & Litigation Management** + Oversee legal claims processes, including… more
- Prime Therapeutics (Tallahassee, FL)
- …to be a part of our JUDI Team.** **The first role will be focused on Claims Compare - analyzing data to identify key points. Our second role will focus on ... platforms and products + Experience using queries, thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly… more