- MyFlorida (Miami, FL)
- …. Requisition No: 860738 Agency: Department of Health Working Title: OPS MEDICAL DISABILITY CASE RECORD ... Date: 10/18/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) DEPARTMENT OF HEALTH DIVISION OF DISABILITY DETERMINATIONS OPEN COMPETITIVE OPPORTUNITY THIS… more
- Highmark Health (Tallahassee, FL)
- …+ High school diploma or GED + Experience in pharmacy prescription claims processing /submission/payment. **Preferred** + Associate degree + Pharmacy technician ... Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent… more
- MyFlorida (Tampa, FL)
- …and apply applicable rules, regulations, policies and procedures relating to the processing of Social Security disability claims . Ability to review and ... Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 863310 Agency: Department of Health Working Title: MEDICAL DISABILITY PROF RELATIONS OFF -… more
- MyFlorida (Miami, FL)
- …. Requisition No: 862120 Agency: Department of Health Working Title: OPS MEDICAL DISABILITY EXAMINER - ... Date: 10/25/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) DEPARTMENT OF HEALTH DIVISION OF DISABILITY DETERMINATIONS OPEN COMPETITIVE OPPORTUNITY POSSIBLE… more
- Humana (Tallahassee, FL)
- …health first** **Requires a strong foundation in COBOL mainframe development ** The Claims Adjudication System (CAS) team at Humana is essential in delivering ... core services through effective claims processing and management solutions. This position...offers a variety of benefits to promote the best health and well-being of our employees and their families.… more
- MyFlorida (Miami, FL)
- …as an officer, notwithstanding suspension of sentence or withholding of adjudication . Notwithstanding this subsection, any person who has pled nolo contendere ... employee's fingerprints. These fingerprints must be forwarded to the department for processing and retention. (6) Have passed a physical examination by a licensed… more
- Molina Healthcare (Tampa, FL)
- … of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication , state, NCQA and CMS policies/guidelines, and any other ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Essential Job… more