• Grievances and Appeals Representative

    Humana (Tallahassee, FL)
    …of grievance and/or appeals experience. + Previous experience processing medical claims . **Additional Information** + **Workstyle:** remote, work from home or in ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
    Humana (12/11/25)
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  • Staff Vice President (VP) Pharmacy Actuary

    Elevance Health (Miami, FL)
    …experience with Cost of Care, provider network contracting, provider networks, claims , finance, and operations preferred. + Pharmacy actuarial experience strongly ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
    Elevance Health (12/11/25)
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  • Pharmacy Intern

    Walgreens (Gainesville, FL)
    …party processing, filling, and dispensing prescriptions. + Assists pharmacists and other healthcare providers in delivering patient care and services that are within ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
    Walgreens (12/11/25)
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  • Appeals Nurse

    Humana (Tallahassee, FL)
    …+ 3 years of clinical RN Experience + Appeals nursing experience + Claims experience + Proficient with Microsoft Office products including Word, Excel and Outlook ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
    Humana (12/11/25)
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  • Paralegal

    ChenMed (Miami, FL)
    …the depositions of employees for litigation matters as well as non-party claims and reviews subpoenas for accuracy. + Manages the Legal Department's administrative ... Salary **EMPLOYEE BENEFITS** https://chenmed.makeityoursource.com/helpful-documents We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare more
    ChenMed (12/11/25)
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  • Patient Access Specialist - Specialty Infusion…

    Option Care Health (Panama City, FL)
    …that attracts, hires and retains the best and brightest talent in healthcare . **Job Description Summary:** The Specialist, Patient Access - Specialty Operations is ... assistance program). + Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). +… more
    Option Care Health (12/10/25)
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  • Pharmacist Local Specialty

    Walgreens (Palm Beach Gardens, FL)
    …rejections. Resolves third-party rejection problems promptly and resubmits rejected claims for payment promptly. Manages and controls Prescription Department ... coach. Maintains current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals, company publications, and communications.… more
    Walgreens (12/10/25)
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  • Clinical Pharmacist Principle

    Humana (Tallahassee, FL)
    …Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
    Humana (12/10/25)
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  • Account Specialist

    Elevance Health (FL)
    …Develops understanding of client needs and priorities. + Manages complex sales, claims , and benefit issues by researching, resolving, and responding to accounts, ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
    Elevance Health (12/05/25)
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  • Provider Contract Cost of Care Consult Senior…

    Elevance Health (Tampa, FL)
    …organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
    Elevance Health (12/04/25)
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