• Director, Process Owner - Attributions

    Centene Corporation (Tallahassee, FL)
    …benefits including a fresh perspective on workplace flexibility. This is a fully remote position and can be located anywhere in the US. **Position Purpose:** ... business needs. + **Design and maintain** attribution models based on claims data, member selection, contractual arrangements, and regulatory requirements. +… more
    Centene Corporation (08/27/25)
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  • Director - Debit Card Fraud Program Leader

    Ally (Tallahassee, FL)
    **General information** **Ref #** 20311 ** Remote ?** No **Ally and Your Career** * Ally Financial only succeeds when its people do - and that's more than some cliche ... Hybrid schedule, currently 3 days in office and 2 remote At this time, Ally will not sponsor a...Reg E and Mastercard's dispute rules to support accurate claims management and loss recovery. * Strong analytical skills… more
    Ally (08/27/25)
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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Tallahassee, FL)
    …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... protect member PHI / HIPAA information This is a remote position Travel: While this is a remote position, occasional travel to Humana's offices for training or… more
    Humana (08/26/25)
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  • Medicaid Lead, Technology Solutions

    Humana (Tallahassee, FL)
    …processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; ... organization focused on continuously improving consumer experiences While this is a remote opportunity,** **it will require the willingness to travel to the market… more
    Humana (08/26/25)
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  • Director, Process Owner - Payables

    Centene Corporation (Tallahassee, FL)
    …benefits including a fresh perspective on workplace flexibility. This is a fully remote position and can be located anywhere in the US. **Position Purpose:** ... scale initiatives required required Operations experience preferred **Experience leading a claims payable function at a large scale highly preferred** **Experience… more
    Centene Corporation (08/24/25)
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  • On-Demand and Contingent Bilingual Spanish

    Mass Markets (FL)
    …in response to data breach communications to consumers. This is a temporary, remote position contingent on breach events. Candidates accepted for this role will be ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
    Mass Markets (08/23/25)
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  • Field Reimbursement Manager Tzield

    Sanofi Group (St. Petersburg, FL)
    …Reimbursement Manager Tzield - FL **Grade:** L3 **Hiring Manage:** TBD **Location:** US Remote , Florida: Miami and St. Petersburg **About the Job** At Sanofi, we are ... payer policy requirements, buy & bill processes, billing and coding education, claims and adjudication by site of care, financial assistance offerings from patient… more
    Sanofi Group (08/17/25)
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  • Virtual Assistant

    Mass Markets (FL)
    …seeking a highly organized and detail-oriented Virtual Assistant to join our remote team. The virtual assistant's primary responsibility is to be organized, ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
    Mass Markets (08/15/25)
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  • Group Dental Underwriter

    Aflac (FL)
    …the Aflac offices located in Columbus, GA or Tampa, FL, this role will be remote .This means you will be expected to work from your home, within the continental US. ... If the role is remote , there may be occasions that you are requested...growth and profit + Communicates with sales, administration and claims to assess the rating and administrative impact or… more
    Aflac (08/13/25)
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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Tallahassee, FL)
    …The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of ... interruptions to protect member PHI / HIPAA information This is a remote position. **Scheduled weekly hours** **:** 40 hours (full-time): four 10-hour workdays… more
    Humana (08/08/25)
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