• Claims / Surveillance Hybrid Investigator…

    Command Investigations (FL)
    …Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + AOE/COE, ... or GED. + Readiness to travel and accommodate overnight stays for remote assignments when necessary. + Ability to utilize web-based technology, digital surveillance… more
    Command Investigations (12/02/25)
    - Related Jobs
  • Medical Director - IP Claims Management

    Humana (Tallahassee, FL)
    …teams or organizational committees. \#physiciancareers 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 range may be higher or lower based on… more
    Humana (12/11/25)
    - Related Jobs
  • Medical Director - OP Claims Mgmt

    Humana (Tallahassee, FL)
    …teams or organizational committees. \#physiciancareers 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 range may be higher or lower based on… more
    Humana (11/24/25)
    - Related Jobs
  • Claim Supervisor - REMOTE

    Ryder System (Tallahassee, FL)
    …**SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling ... complex and high exposure bodily injury and property damage claims . **Maintain an active inventory of claims ,...damage claims . **Maintain an active inventory of claims , ensuring appropriate follow-up, timely resolution, and adherence to… more
    Ryder System (12/09/25)
    - Related Jobs
  • Prior Authorization Technician - Remote

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully Remote ... Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST ( REMOTE ) WHO WE ARE At Polaris Pharmacy Services, we're more than a… more
    Polaris Pharmacy Services, LLC (12/12/25)
    - Related Jobs
  • RN Medical Review Nurse Remote

    Molina Healthcare (Tampa, FL)
    …and productive environment. Further details to be discussed during our interview process. Remote position with location preference in MI, IL or WI Work hours: ... Duties** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made,… more
    Molina Healthcare (12/03/25)
    - Related Jobs
  • Clinical Research Analyst, Senior - Remote

    Prime Therapeutics (Tallahassee, FL)
    …pharmacy with us. **Job Posting Title** Clinical Research Analyst, Senior - Remote **Job Description** The Senior Clinical Research Analyst works closely with ... is responsible for the synthesis of data findings in support of clinical claims and programs. **Responsibilities** + Synthesizes a wide variety of data and outputs… more
    Prime Therapeutics (12/11/25)
    - Related Jobs
  • Pricing Analyst - REMOTE

    Prime Therapeutics (Tallahassee, FL)
    …future of pharmacy with us. **Job Posting Title** Pricing Analyst - REMOTE **Job Description** The Pricing Analyst maintains, provides analyses, consults and ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
    Prime Therapeutics (12/09/25)
    - Related Jobs
  • Revenue Integrity Coding Billing Specialist…

    Guidehouse (Tampa, FL)
    …**Travel Required** **:** None **Clearance Required** **:** None This position is fully remote **What You Will Do** **:** + Under the direction of the Director ... billing scrubber bill hold edits, and claim denials. **This position is 100% remote ** .Daily duties for this position include: + Responsible for the daily resolution… more
    Guidehouse (12/04/25)
    - Related Jobs
  • Litigation Consultant | Auto | Remote

    Sedgwick (Tallahassee, FL)
    …Best Workplaces in Financial Services & Insurance Litigation Consultant | Auto | Remote **PRIMARY PURPOSE** : To address and handle high end cases with serious ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
    Sedgwick (11/18/25)
    - Related Jobs