- Molina Healthcare (St. Petersburg, FL)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
- Prime Therapeutics (Tallahassee, FL)
- …every decision we make. **Job Posting Title** Member Campaign Program Analyst - Remote **Job Description** The Member Campaign Program Analyst is responsible for the ... + Pharmacy Benefit Management (PBM) experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Campaign management… more
- Sedgwick (Orlando, FL)
- …Fortune Best Workplaces in Financial Services & Insurance Licensed Auto Insurance Agent- Remote **_Schedule:_** Monday - Friday 9:00 AM - 5:30 PM **Central time (for ... 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
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** Underwriter - REMOTE **Job Description** The Underwriter is responsible for assisting in the development ... Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing analyses of moderately complex external claims data +… more
- Mass Markets (Orlando, FL)
- …and provide accurate solutions. + Use internal systems to manage accounts, process claims , and update records. + Follow scripts and procedures to ensure compliance ... applications. + Reliable internet connection (20Mbps+ download speed) for remote roles. + Customer-first mindset: empathetic, patient, and solution-oriented. +… more
- Morley (Miami, FL)
- **About the Role** **_Location: Remote - Florida residents_** **_(minimal travel required)_** Ready to take your creative career to the next level? As a remote ... help desk + Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will) services **_About Morley_** Our… more
- Mass Markets (FL)
- …ourselves as a trusted partner in the industry. We are looking for motivated Remote Call Center Sales Representatives to join our growing team. If you have a ... + 1-2 years of sales experience, preferably in a call center or remote setting. + Strong persuasive and negotiation skills. + Self-motivated with a results-oriented… more
- Molina Healthcare (FL)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Molina Healthcare (FL)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more