• Network Relations Manager (Remote FL - Palm Beach,…

    CVS Health (Tallahassee, FL)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...complex issues, regarding policies and procedures, contract language, service, claims or compensation issues, and provider education needs. +… more
    CVS Health (11/13/25)
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  • Contract Negotiation Manager (Florida)

    CVS Health (Tallahassee, FL)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of… more
    CVS Health (11/08/25)
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  • Senior Manager, Network Management (Florida)

    CVS Health (Tallahassee, FL)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of… more
    CVS Health (10/29/25)
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  • Contract Negotiation Manager (Tampa Bay Region)

    CVS Health (Tallahassee, FL)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of… more
    CVS Health (10/25/25)
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  • Medical Trend Analytics Manager 1

    Baylor Scott & White Health (Tallahassee, FL)
    …Medicaid). Candidate will oversee extracting and analyzing medical and pharmacy claims data, translating output into business recommendations. This individual will ... benefits package includes the following + Immediate eligibility for health and welfare benefits + 401(k) savings plan with...qualification EXPERIENCE - 5 Years of Experience As a health care system committed to improving the health more
    Baylor Scott & White Health (11/26/25)
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  • Member Engagement Guide

    Highmark Health (Tallahassee, FL)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY:** This job collaborates with Sales Client Management and the Sales Executive team. The position ... department (including but not limited to Product Management, membership, claims , eMarketing, etc.). Identify any opportunities for process improvements.Success will… more
    Highmark Health (11/11/25)
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  • Medical Billing Specialist Not a Remote Position

    National Health Transport (Miami, FL)
    …is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance Medical Billing Specialist answers inquiries ... from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities: + Promotes, develops,...and fosters the mission, vision, and values of National Health Transport Inc. + Provides the highest level of… more
    National Health Transport (10/22/25)
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  • Inpatient Coding Auditor

    BayCare Health System (Tampa, FL)
    …and evaluates compliance related activities and services provided by the BayCare Health System HIM Coding Department. + Interacts directly with coders, clinical ... Clinic, etc. + Performs special audits for specific issues within facility Inpatient claims . + Acts as the Liaison for coding issues with the BayCare Compliance… more
    BayCare Health System (10/10/25)
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  • Sr Analyst, Performance Suite Analytics

    Evolent (Tallahassee, FL)
    **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process… more
    Evolent (11/08/25)
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  • Associate Business Process Analyst/HNAS

    Highmark Health (Tallahassee, FL)
    …Analyst or Business Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 0 - 1 year in the ... Health Insurance Industry **LICENSES AND CERTIFICATION** **Required** + None...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
    Highmark Health (10/29/25)
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