- Molina Healthcare (Jacksonville, FL)
- …Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for ... and ETL systems to support negotiating strategies, modeling current and future contract rate proposals. * Research, analyze, and consult Medicaid and Medicare… more
- CVS Health (Tallahassee, FL)
- …with or responding to complex issues, regarding policies and procedures, contract language, service, claims or compensation issues, and provider education needs. ... + Coordinates the contracting process with healthcare providers to negotiate contract terms, fee schedules, reimbursement rates, and other contractual arrangements.… more
- Molina Healthcare (St. Petersburg, FL)
- …Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for ... and ETL systems to support negotiating strategies, modeling current and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare… more
- Anywhere Real Estate (Jacksonville, FL)
- …service-minded professional who manages all non-licensed aspects of the transaction, from contract to close, to create a seamless experience for the agent, consumer ... transaction is in reliable and skillful hands. **This position is 100% remote and will support various markets.** **Responsibilities:** + Perform non- licensed… more
- Prime Therapeutics (Tallahassee, FL)
- …the future of pharmacy with us. **Job Posting Title** Client Audit Specialist - Remote **Job Description** As a member of the Client Audit Management (CAM) team, the ... (Word, Excel) **Preferred Qualifications** + Health insurance/PBM operations and/or contract audit experience + Experience with regulatory compliance for… more
- Carrington (Jacksonville, FL)
- **Come join our amazing team and work a remote schedule!** The Business Optimization Analyst position will be responsible for mapping processes, analyzing system and ... on system performance, utilization, process changes,and system enhancements or if a contract extension or new system/tool may be needed. + Create a variety… more
- Sedgwick (Orlando, FL)
- …Best Workplaces in Financial Services & Insurance Managed Care Client Service Director ( REMOTE ) Are you looking for an opportunity to join a global industry leader ... potential dissatisfaction prior to renewal meetings. + Performs client renewal, contract revision, and Client Service Instruction preparation for complex programs. +… more
- Sedgwick (Tampa, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Liability ( REMOTE - BI/Lit exp & licensed in any: NC, SC, VA, FL DE DC DE MD) ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Sedgwick (Orlando, FL)
- …in Financial Services & Insurance Claims Team Lead | Commercial Trucking | Remote **PRIMARY PURPOSE** : To supervise the operation of multiple teams of examiners ... + Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. + Acts as second level of appeal for… more
- Prime Therapeutics (Tallahassee, FL)
- …of pharmacy with us. **Job Posting Title** Principal Pricing Analyst - REMOTE **Job Description** **The Principal Pricing Analyst leads complex analyses, financial ... recommendations that directly impact Prime's financial pricing strategies, financial contract management, profit drivers and the organization's financial value… more
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