- AdventHealth (Orlando, FL)
- …All while understanding that **together** we are even better. **Schedule:** Full Time Remote , Applicant must live within a 50-mile radius or be a current employee ... of the multidisciplinary care team to effect timely, appropriate management of claims . + Utilizes advanced conflict resolution skills as necessary to ensure timely… more
- Defense Logistics Agency (Jacksonville, FL)
- …user training on PC hardware and software operations via telephone, email, remote access, and/or through on-site customer visits. B. Education: Education must ... You MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: Unofficial transcripts are acceptable at time of… more
- Humana (Tallahassee, FL)
- …and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim's environment + Experience creating ... if you will be moving forward to next round. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Equivalent Combination of Training and Experience Min. Years Experience1 Company/BrandMCI Location : LocationUS-FL- Remote Career LevelMid-Level Employment TypeFull-Time Reports… more
- Humana (Tallahassee, FL)
- …from either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to ... Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... reason. ID2025-47961 Updated Date8/22/2025 DepartmentCorporate Business Development Positions EducationBachelor's Degree Min. Years Experience15 Location : LocationUS-FL- Remote DivisionBusiness Process… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Is Not Remote Position Purposes: Evaluates and approves requested services using organizational policies or MCG(R) screening criteria. Responsibilities: + ... as well as knowledge of the interconnection between Utilization Management, claims , and regulatory requirements to respond to complex and/or escalated inquiries.… more
- WTW (Miami, FL)
- …teams of consultants across WTW, including brokers, service colleagues, and claims advocates, to deliver efficient and effective support. This role requires ... The majority of our colleagues work in a "hybrid" style, with a mix of remote , in-person and in- office interactions dependent on the needs of the team, role and… more
- General Motors (FL)
- **Job Description** ** Remote :** This position does not require employee to be on-site full-time to perform most effectively. The employee's role enables them to work ... state agencies including supporting Lemon Law processes as well as small claims or other arbitration dispute resolutions. **What You'll Do (Responsibilities)** +… more
- J&J Family of Companies (West Palm Beach, FL)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... competence with salesforce.com CRM use, Microsoft Word, and Excel \#FRM2025 \#LI- Remote Johnson & Johnson is an Equal Opportunity Employer. All qualified… more