• Clinical Research Scientist 2

    Humana (Tallahassee, FL)
    …informaticists to define various clinical concepts and extract clinical information from medical , pharmacy, and lab claims for analytics and modeling purposes ... Qualifications** + Healthcare or managed care working experience + Experience working with medical , pharmacy, lab claims + Experience working with big data and… more
    Humana (09/06/25)
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  • Nurse Allocator Medicare

    Sedgwick (Tallahassee, FL)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Nurse Allocator Medicare **PRIMARY PURPOSE OF THE ROLE:** To perform provider ... or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. + Work… more
    Sedgwick (08/29/25)
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  • Director, Performance Suite Analytics

    Evolent (Tallahassee, FL)
    …patient health. This role supports capitated risk and value-based strategy development, medical cost management activity, medical economics activity, and a ... team in the analysis and interpretation of cost and utilization data ( medical and pharmaceutical) to explain potential upside/downside risks of a given… more
    Evolent (07/09/25)
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  • Field Reimbursement Manager

    Adecco US, Inc. (Orlando, FL)
    …to $60.00 per hour Benefit offerings available for our associates include medical , dental, vision, life insurance , short-term disability, additional voluntary ... the FRM provides expert guidance on benefit investigations, prior authorizations, claims resolution, and appeals. This client- and customer-facing role requires… more
    Adecco US, Inc. (08/21/25)
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  • Accounts Receivable Representative…

    Surgery Care Affiliates (Jacksonville, FL)
    …outpatient surgery center or related field with core duties related to medical insurance collections, billing, accounts receivable, A/R, collecting payments, ... Degree + Ideally two or more years' experience working specifically into medical insurance collections, billing, accounts receivable, A/R, collecting payments,… more
    Surgery Care Affiliates (08/10/25)
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  • Employee Relations Consultant-SES

    MyFlorida (Tallahassee, FL)
    …including career training, tuition waivers, paid vacations, insurance , and retirement programs, visit our website ... workplace accommodations due to disability, pregnancy, childbirth, or related medical conditions, or religious accommodations, and works collaboratively with the… more
    MyFlorida (09/03/25)
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  • Senior Sales Executive-National Accounts

    Kemper (Tampa, FL)
    …preferable or comparable sales/marketing management experience + Extensive knowledge of insurance operations: claims , coverages, products and underwriting is ... requirements. + Works directly with strategic partners like Product, Claims , and Operations on issues impacting the account. +...eligible for an annual discretionary bonus and Kemper benefits ( Medical , Dental, Vision, PTO, 401k, etc.) + This is… more
    Kemper (08/07/25)
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  • Ops Operations Analyst I

    MyFlorida (Jacksonville, FL)
    medical , functional, and/or vocational evidence with pending disability claims . Once identified by case, uploads documents. Responsible for uploading MER ... perform support duties relating to the processing of Social Security disability claims . This position requires the incumbent have good oral and written communication… more
    MyFlorida (09/06/25)
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  • Risk Management Coordinator

    HCA Healthcare (West Palm Beach, FL)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
    HCA Healthcare (08/24/25)
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  • Encounter Data Management Professional

    Humana (Tallahassee, FL)
    …to make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing ... and researching medical claims + Proficient in Microsoft Office...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 10-30-2025 **About… more
    Humana (08/16/25)
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