• Operations Expert

    Elevance Health (Miami, FL)
    ** Operations Expert** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... granted as required by law. **Hours** : 8 AM to 4:30 PM Eastern The Operations Expert I is responsible for providing technical direction, guidance and resources to … more
    Elevance Health (10/03/25)
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  • Sr. Consultant Risk Eng

    The Hartford (Sunrise, FL)
    …in the RMS process - meeting with insured's, making presentations, working with claims and underwriting, etc. + Work with Risk Engineering Manager on ... + A minimum of 5 years of industry experience in a safety related role; property and casualty insurance experience highly desired + Ability to achieve or maintain 1… more
    The Hartford (09/28/25)
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  • FEMA Disaster Management Accountant

    CDM Smith (Orlando, FL)
    …is critical in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss ... supporting documentation to determine the validity and value of disaster-related claims . This may involve reviewing income statements, balance sheets, production… more
    CDM Smith (08/01/25)
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  • Foreperson - Non-Union

    Utilities Service, LLC (Miami, FL)
    **Description** **Foreperson** This position ensures the productivity of daily operations , working closely with management to determine recruiting/hiring needs, ... training in accordance with company policies and procedures. + Discusses with property owner/customer(s) issues such as obtaining access, power interruption, work to… more
    Utilities Service, LLC (09/13/25)
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  • Nurse Audit Senior (Operating Room)

    Elevance Health (Miami, FL)
    …of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review. **How you ... fraud and over-utilization by performing medical reviews via prepayment claims review and post payment auditing. + Correlates review...and educational materials. + Acts as liaison with service operations as well as other areas of the company… more
    Elevance Health (09/30/25)
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  • Staff VP - Engineering, Medical Cost Mgmt & Cost…

    Elevance Health (FL)
    …for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and clinical insights platforms that enable Elevance ... building, scaling, and maintaining platforms for: + Medical Cost Management ( claims review, payment integrity, utilization management, risk adjustment). + Cost of… more
    Elevance Health (10/02/25)
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  • Accountant III

    MyFlorida (Tallahassee, FL)
    …traveling on behalf of the state of Florida and making recommendations to the Operations Manager for improvements to the travel procedures as needed. + ... in FLAIR/Florida PALM. + Responsible for the maintenance of property records in the Florida Accounting Information Resource (FLAIR)...(DFS) as needed and submits the Annual Report of Claims for Collection to DFS. Knowledge, Skills, & Abilities:… more
    MyFlorida (09/30/25)
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  • Advanced Analytics Analyst Senior - Medical…

    Elevance Health (FL)
    …Analytics Analyst Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to ... discipline such as statistics, computer science, cognitive science, economics, or operations research, a minimum of 3 years direct experience programming large,… more
    Elevance Health (09/19/25)
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  • Director of Pharmacy Accounts

    Elevance Health (FL)
    …management effectiveness and client outcomes. + Partner with sales, clinical, and operations teams to develop solutions that align with client goals. + Identify ... Direct or indirect leadership experience preferred. + Familiarity with pharmacy claims processing, formularies, and clinical programs preferred. + Prior experience… more
    Elevance Health (10/03/25)
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  • Formulary Clinical Pharmacist - CarelonRx

    Elevance Health (Tampa, FL)
    …communications regarding formulary changes. + Ensures appropriate formulary set-up and claims adjudication. + Serves as a clinical pharmacy resource to pharmacy ... benefit management and pharmacy operations teams. + Ensures compliance with state/federal mandates and...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
    Elevance Health (09/27/25)
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