- VetsEZ (FL)
- We are currently looking for a Pega Developer for a 100% remote position on a large federal government project. The Pega Developer will be responsible for developing ... related field. + 7+ years of experience with Pega PRPC v7.x+ (including Smart Claims & Healthcare Foundation). + 3+ years of Java development experience. + Certified… more
- Pearl Interactive Network (Tallahassee, FL)
- **Pearl Interactive Network is sourcing Seasonal Remote Customer Service Representatives.** The **Customer Service Representative** is responsible for providing ... + Navigate pre-scripted responses, read them verbatim to provide basic and claims -specific information, and ensure callers receive accurate details. + Perform other… more
- Prime Therapeutics (Tallahassee, FL)
- …every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst ... stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business partners… more
- Molina Healthcare (Miami, FL)
- …organized and analytical thinking. Experience with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work ... encouraged to apply. Further details to be discussed during our interview process. Remote with 10% travel to member's home or facility Work schedule Monday through… more
- AdventHealth (Altamonte Springs, FL)
- …understanding that together we are even better. **Job Location: Monday-Friday - Remote ** **The role you'll contribute:** Assigns codes to hospital inpatient accounts ... Team of any coding or coding related issues that adversely impact the claims processing, coding accuracy, and compliance.e. Monitors the queue holds and adhere to… more
- Insight Global (Maitland, FL)
- …Litigation Attorney licensed in Missouri to join their expanding legal team. This remote position focuses on first-party property insurance claims , offering an ... opportunity to work with a reputable and growth-oriented law firm. The ideal candidate will have 3-5 years of experience in first-party insurance litigation and a strong ability to manage complex legal matters independently. Initial Base Salary: $12,500/month… more
- National Health Transport (Miami, FL)
- …Specialist answers inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities: + Promotes, develops, and ... but would generally be 8:00am-4:30pm, Monday through Friday. This position is not remote . Note: This description indicates, in general terms, the type and level of… more
- Prime Therapeutics (Tallahassee, FL)
- …decision we make. **Job Posting Title** Deputy General Counsel, Litigation - REMOTE **Job Description** The Deputy General Counsel Litigation leads the company's ... in federal healthcare laws and regulations such as HIPAA, Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed care operations + Experience… more
- Prime Therapeutics (Tallahassee, FL)
- …decision we make. **Job Posting Title** Forecasting Principal - Finance - Remote **Job Description** The Treasury Analyst Principal is responsible for developing, ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** + Develop, manage, and advance complex… 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