- MyFlorida (Tallahassee, FL)
- …is more than a paycheck. We offer an excellent array of benefits, including: * Health insurance (ie, individual and family coverage) to eligible employees * Life ... 68064784 - MEDICAL/ HEALTH CARE PROGRAM ANALYST Date: Nov 14, 2025...the operations of the Medicaid fiscal agent, including Medicaid claims processing, billing procedures, reimbursement methodologies, and provider enrollment.… more
- MyFlorida (Tallahassee, FL)
- …Group Insurance coverage options (must meet eligibility requirements), including health , life, dental, vision, and other supplemental insurance options; * ... 68900202 - OPS MEDICAL/ HEALTH CARE PROGRAM ANALYST Date: Nov 19, 2025...statutes and laws, program manuals, provider handbooks, and Medicaid claims processing procedures. This unit is seeking a candidate… more
- MyFlorida (Alachua, FL)
- …Paid Bi-weekly Excellent retirement package and optional deferred compensation plan. Health , vision, dental, disability, and other supplemental insurance ... needed, interviewing veterans and family members, preparing and submitting claims for benefits to the US Department of Veterans...and obtain information in order to prepare and submit claims for any and all federal and state benefits… more
- Highmark Health (Tallahassee, FL)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... 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
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to ... services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are varied and frequently require… more
- HCA Healthcare (Niceville, FL)
- …healthcare provider. We are seeking a(an) RN Infection Prevention and Employee Health to join our healthcare family. **Benefits** HCA Florida Twin Cities Hospital, ... offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive… more
- Sedgwick (Orlando, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, ... work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all … more
- Sedgwick (Tallahassee, FL)
- …limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Marine Investigator **PRIMARY PURPOSE** **:** To perform detailed admiralty … more
- Option Care Health (Tallahassee, FL)
- …-Flexible Spending Accounts -Tuition Reimbursement -myFlexPay -Family Support -Mental Health Services -Company Paid Life Insurance -Award/Recognition Programs ... limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
- Elevance Health (Miami, FL)
- …responding to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims . Proficient in ... preferred. + Experience taking inbound calls, texts and chats. + Behavioral health and/or managed care experience preferred. + Proficiency in typing with speed… more