- Mass Markets (FL)
- …and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Humana (Tallahassee, FL)
- …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 (Word, Excel, Access,...forward to next round. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Sedgwick (Tallahassee, FL)
- …to add or to change the duties of the position at any time. # remote Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- The Robison Group (Pensacola, FL)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... medical treatment). + College Degree preferred. TRAINING The Robison Group provides remote and/or in-classroom training to ensure that individuals are set up for… more
- AdventHealth (Altamonte Springs, FL)
- …we are even better. **Schedule:** Full Time **Shift** : Monday-Friday **Location:** Remote **The role you'll contribute:** The Health Plan Data Analyst is ... the cost of care. The Analyst uses healthcare data ( claims , labs, EHR data) analytics to gain insights into...Tableau, Business Objects + working with healthcare, insurance or claims data + Six Sigma certified This facility is… more
- Zelis (St. Petersburg, FL)
- …who you are. Position Overview The Manager, DRG Validation of the Expert Claims Review (ECR) department is responsible for daily operations and team management of ... 5 - 7 years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims required + Supervisory experience preferred + Solid understanding of audit techniques and… more
- Norstella (Tallahassee, FL)
- Sr. Medical Analyst Company: MMIT Location: Remote , United States Date Posted: Jul 30, 2025 Employment Type: Full Time Job ID: R-1370 **Description** **Why ... to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You… more
- Centene Corporation (Tallahassee, FL)
- …role preferred. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity ... with claims payment, utilization management, provider/vendor contracts, risk adjustment for...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Evolent (Tallahassee, FL)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various… more
- Centene Corporation (Orlando, FL)
- …+ Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform ... care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations. Project management… more