• Commercial Project Manager

    Stantec (Orlando, FL)
    …to medical , dental, and vision plans, a wellness program, health saving accounts, flexible spending accounts, 401(k) plan, employee stock purchase program, ... System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project… more
    Stantec (08/07/25)
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  • Senior Director, MSAT Biologics

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life, ... fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive… more
    Otsuka America Pharmaceutical Inc. (07/15/25)
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  • Field Case Manager-Sign-On Bonus Eligible

    Sedgwick (Tallahassee, FL)
    …Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely ... are driven to deliver great work. + Apply your medical /clinical or rehabilitation knowledge and experience to assist in...- a rewarding career making an impact on the health and lives of others, and a remote work… more
    Sedgwick (08/27/25)
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  • Risk Management Coordinator

    HCA Healthcare (West Palm Beach, FL)
    …Florida JFK North Hospital offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs ... include: + Comprehensive medical coverage that covers many common services at no...a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and… more
    HCA Healthcare (08/24/25)
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  • Vice President, Strategic Accounts

    Evolent (Tallahassee, FL)
    …growth opportunities at customer accounts + Strong knowledge of health plan operations, care/utilization management, claims processing, value-based ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health … more
    Evolent (08/27/25)
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  • Senior Risk Manager

    HCA Healthcare (Atlantis, FL)
    …HCA Florida JFK Hospital offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs ... include: + Comprehensive medical coverage that covers many common services at no...a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and… more
    HCA Healthcare (08/20/25)
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  • Field Case Manager-Sign On Bonus Eligible

    Sedgwick (Miami, FL)
    …Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely ... are driven to deliver great work. + Apply your medical /clinical or rehabilitation knowledge and experience to assist in...- a rewarding career making an impact on the health and lives of others, and a remote work… more
    Sedgwick (08/29/25)
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  • Collections Specialist

    HCA Healthcare (Sarasota, FL)
    …**Benefits** Surgery Ventures, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... programs include: + Comprehensive medical coverage that covers many common services at no...a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and… more
    HCA Healthcare (06/21/25)
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  • Provider Engagement Account Manager

    Centene Corporation (Orlando, FL)
    …related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims , contracting ... utilization management, or clinical operations. Project management experience at a medical group, IPA, or health plan setting. Proficient in HEDIS/Quality… more
    Centene Corporation (07/10/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... Experience in the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific… more
    Molina Healthcare (08/15/25)
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