- CVS Health (Tallahassee, FL)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning ... the negotiation role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role as a negotiator,… more
- The Cigna Group (Sunrise, FL)
- …channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, ... Providers 3 days per week The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider...Cigna's competitive position. + Supports initiatives that improve total medical cost and quality. + Drives change with external… more
- Mass Markets (FL)
- …partner in the industry. We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role is crucial in ensuring ... sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of employment, and all… more
- Evolent (Tallahassee, FL)
- …team at Evolent. This individual will be primarily focused on performing medical economics analysis in support of complex risk-based contract development and will ... into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- NextEra Energy (North Palm Beach, FL)
- **Compliance Analyst ** **Date:** Aug 22, 2025 **Location(s):** North Palm Beach, FL, US, 33408 **Company:** NextEra Energy At PALMS Insurance, a NextEra Energy ... state regulations and requirements + Assists with managing producer, broker, and claims adjuster licenses and renewals and database management + Periodically meets… more
- CVS Health (Miami, FL)
- …in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related ... and Resolve:** Handle member inquiries and escalations related to benefits, claims , eligibility, and policy interpretation by identifying root causes, coordinating… more
- MUFG (Tampa, FL)
- …US compliance regulation checks/screening/data entry; and (h) acceptances/payments, Reimbursement claims . To assist the Section in achieving its planned objectives, ... Laws)/FEFTA /Red flags/vessels/shipping lines/ports/country violations relating to trade finance documents/ claims /transactions. **Transaction Processing in Trade 360 System** : Prepare… more
- MUFG (Tampa, FL)
- …US compliance regulation checks/screening/data entry; and (c) acceptances/payments, Reimbursement claims . To assist the Section in achieving its planned objectives, ... Laws) /Red flags/vessels/shipping lines/ports/country violations relating to trade finance documents/ claims /transactions. **Transaction Processing in Trade 360 System** : Prepare… more
- CVS Health (Tallahassee, FL)
- …complete and timely reimbursement from pharmaceutical manufacturers for certain pharmacy claims billed to Medicare. The candidate will contribute to establishing ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- CVS Health (Tallahassee, FL)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more