• Financial Operations Recovery Specialist III

    Elevance Health (Miami, FL)
    …+ Requires a HS diploma or equivalent and a minimum of 4 years of claims processing and/or customer service experience; or any combination of education and ... equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Strong medical claims processing experience highly preferred. + Proficient in… more
    Elevance Health (09/05/25)
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  • Regulatory Supervisor/Consultant

    MyFlorida (Tampa, FL)
    …of alcoholic beverage and tobacco products in Florida, including receipt and processing of license applications; collection and auditing of taxes and fees paid ... SES position oversees the functions and regulatory activities of the District Office processing team for the review of applications and the issuance of licenses,… more
    MyFlorida (09/03/25)
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  • Healthcare Accounts Receivables - Claim Denials…

    Cognizant (Tallahassee, FL)
    **Healthcare Accounts Receivables - Claims Denials (remote)** Cognizant is one of the world's leading professional services companies, we help our clients modernize ... advanced work related to resolving physician claim denials. + **Accounts Receivables processing ** : getting the payment processed. + **Root Cause Analysis** :… more
    Cognizant (09/05/25)
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  • Prior Authorization Technician - Remote

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...needs + Prepare and maintain reports and records for processing + Perform other tasks as assigned. + Follow… more
    Polaris Pharmacy Services, LLC (09/04/25)
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  • (USA) Asset Protection Operations Coach

    Walmart (La Belle, FL)
    …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
    Walmart (08/30/25)
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  • IT Business Analyst w/ ClaimsCenter Platform

    Robert Half Technology (Clearwater, FL)
    …from team members during project execution. Requirements * Proven experience in claims processing and related systems. * Strong analytical and problem-solving ... collaborate with stakeholders to deliver effective business solutions, focusing on claims systems and processes. Your work will involve gathering requirements,… more
    Robert Half Technology (08/28/25)
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  • Ops Records Analyst

    MyFlorida (Miami, FL)
    …incumbent's primary responsibility is to perform duties that assist us with the processing of Social Security disability claims . This position requires the ... technical electronic records management activities relating to Social Security disability claims . The incumbent must be productive under tight deadlines and have… more
    MyFlorida (09/06/25)
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  • Assistant Attorney General-DLA

    MyFlorida (Tallahassee, FL)
    …Antitrust litigation + Experience in Complex litigation + Experience in False Claims Act litigation + Experience with E-discovery + Undergraduate degree in Economics ... governments, by combining the skills of attorneys, economists, data processing professionals, investigators, and supporting paraprofessional and clerical personnel… more
    MyFlorida (08/20/25)
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  • Associate Director, Commercial Data Management

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... a minimum of 5 business days. **Company benefits:** Comprehensive medical, dental , vision, prescription drug coverage, company provided basic life, accidental death… more
    Otsuka America Pharmaceutical Inc. (08/13/25)
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  • Patient Care Coordinator-4

    Sedgwick (Orlando, FL)
    …customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services. **ESSENTIAL FUNCTIONS ... + Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and/or… more
    Sedgwick (09/05/25)
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