• Manager, Fraud and Waste * Special Investigations…

    Humana (Tallahassee, FL)
    …8 hours/day, 5 days/week. **Required Qualifications** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years ... part of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations...proven leadership skills and significant experience directly managing a group of seasoned professionals. + Excellent PC skills MS… more
    Humana (09/05/25)
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  • Appeals Specialist - Fully Remote

    TEKsystems (Jacksonville, FL)
    … follow up, root cause analysis, EHR, EMR, EPIC, Cerner, medical billing, claims audit, appeals process, appeals letter, denials, insurance follow ups Top ... just picking up the phone to communicate and solve problems - determine why claims are denied - determine where to send appeals - determine whether a claim… more
    TEKsystems (09/05/25)
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  • Medical Director, Global Medical Affairs, Early…

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …be responsible for supporting and executing the strategic vision for a select group of assigned assets within our CNS TA (encompassing Psychiatry and emerging ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
    Otsuka America Pharmaceutical Inc. (07/16/25)
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  • Medical Consultant- Remote

    UNUM (Tallahassee, FL)
    …and rewards that are competitive and comprehensive including healthcare benefits ( health , vision, dental), insurance benefits (short & long-term disability), ... + Performance Based Incentive Plans + Competitive benefits package that includes: Health , Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid… more
    UNUM (08/01/25)
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  • Ops Operations Analyst I

    MyFlorida (Jacksonville, FL)
    …benefits; + Nine paid holidays and one Personal Holiday each year; + State Group Insurance coverage options, including health , life, dental, vision, and ... Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 860080 Agency: Department of Health Working Title: OPS OPERATIONS ANALYST I - 64801493… more
    MyFlorida (09/06/25)
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  • Senior Risk Manager

    HCA Healthcare (Atlantis, FL)
    …HCA Florida JFK Hospital offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.… more
    HCA Healthcare (08/20/25)
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  • Client Advocate

    WTW (Miami, FL)
    …Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance , AD&D, ... teams of consultants across WTW, including brokers, service colleagues, and claims advocates, to deliver efficient and effective support. This role requires… more
    WTW (08/26/25)
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  • Accounts Receivable Director

    SIMEDHealth (Gainesville, FL)
    …financial outcomes. + Competitive salary and comprehensive benefits package including: + Health Insurance + Life Insurance ( Group & Voluntary) + Dental ... SIMEDHealth, a progressive, physician-owned multi-specialty medical group , is seeking an experienced Accounts Receivable Director...+ Critical Illness Insurance + Accident Indemnity Insurance + Health Savings Account + 401(k)… more
    SIMEDHealth (08/13/25)
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  • Assistant Director Loss Prevention

    Marriott (Longboat Key, FL)
    …discount, accrued paid time off (including sick leave where applicable), life insurance , group disability insurance , travel discounts, adoption assistance, ... and statistical data. * Assists in the management of claims by ensuring proper procedures are followed and documented....to $87,000 annually. Marriott offers a bonus program, comprehensive health care benefits, 401(k) plan with up to 5%… more
    Marriott (08/11/25)
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  • Patient Access Specialist - Specialty Pharmacy

    AssistRx (Maitland, FL)
    …to 3 years of experience interacting with healthcare providers in regard to health insurance plan requirements + Excellent verbal communication skills and ... This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's...access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays… more
    AssistRx (08/27/25)
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