- Prime Therapeutics (Tallahassee, FL)
- …future of pharmacy with us. **Job Posting Title** Account Manager - Remote **Job Description** The Account Manager provides information, analyses, and consulting to ... Knowledge of PBM functions such as but not limited to customer service, claims , benefits, prior authorizations, rebates, and networks. + Build business case for all… more
- Prime Therapeutics (Tallahassee, FL)
- …of pharmacy with us. **Job Posting Title** Principal Pricing Analyst - REMOTE **Job Description** **The Principal Pricing Analyst leads complex analyses, financial ... to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field** **3 years of experience using Tableau,… more
- Datavant (Tallahassee, FL)
- …fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents + Ability to stay organized ... of its components, pregnancy or pregnancy-related medical conditions, and/or religion. For remote work, this position requires that you provide a high-speed internet… more
- National Health Transport (Miami, FL)
- …Specialist answers inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities: + Promotes, develops, and ... but would generally be 8:00am-4:30pm, Monday through Friday. This position is not remote . Note: This description indicates, in general terms, the type and level of… more
- Option Care Health (Panama City, FL)
- …assistance program). + Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). + ... Assist Supervisor and Manager with special assignments as needed. **Supervisory Responsibilities** Does this position have supervisory responsibilities? NO (ie hiring, recommending/approving promotions and pay increases, scheduling, performance reviews,… more
- The ODP Corporation (Boca Raton, FL)
- …installation schedule dates; identifying back charges; managing punch lists; initiating the claims process for warranty issues; and tracking proof of deliveries. + ... Participate in project planning and design meetings including internal detailed furniture design meetings and provide input as appropriate. Review final furniture plans along with designer for accuracy and completeness as related to request for proposal (RFP)… more
- AssistRx (Orlando, FL)
- …(patient portals, apps, engagement platforms). + Knowledge of EMR/EHR integrations, claims data, and real-world evidence (RWE). + Experience creating outcomes ... dashboards or patient journey analytics. + Experience supporting AI-driven workflows or automation tools. + Consulting or client-facing implementation experience. Benefits + Supportive, progressive, fast-paced environment + Competitive pay structure + Matching… more
- Molina Healthcare (FL)
- …member inquiries, questions and concerns in all areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care. + Provides ... exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal… more
- Cognizant (Sarasota, FL)
- …review Delivery Assurance Audit AMIs etc. Experience with the Billing and Claims configuration knowledge Data Insight producer policy holder will be added advantage. ... Certifications Required DuckCreek Policy Configurator certification required Applications will be accepted until 12/26/25 Salary and Other Compensation: The annual salary for this position is between $66,896 -$132,500 depending on experience and other… more
- Molina Healthcare (Jacksonville, FL)
- …affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable ... financial and even clinical insights to focus high priorities and attack underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging value-based care… more