• Utilization Management RN

    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
    AdventHealth (08/28/25)
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  • IT Specialist (Custspt)

    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
    Defense Logistics Agency (08/27/25)
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  • Senior Process Improvement Professional

    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
    Humana (08/27/25)
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  • Senior Accountants

    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
    Mass Markets (08/27/25)
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  • Medicaid Pricing Actuary

    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
    Humana (08/27/25)
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  • SVP of Sales

    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
    Mass Markets (08/27/25)
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  • Medical Management Coordinator, RN

    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
    DOCTORS HEALTHCARE PLANS, INC. (08/26/25)
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  • Client Advocate

    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
    WTW (08/26/25)
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  • Customer Resource Manager

    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
    General Motors (08/26/25)
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  • Field Reimbursement Manager (Immunology…

    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
    J&J Family of Companies (08/25/25)
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