• Claim Benefit Specialist…

    CVS Health (Tallahassee, FL)
    …And we do it all with heart, each and every day. Reviews and adjudicates routine claims on HRP system in accordance with claim processing guidelines. Claims ... Aetna compliance and business requirements. Analyzes and approves routine claims that cannot be auto adjudicated. - Applies medical...applies all cost containment measures to assist in the claim adjudication process. - Proofs claim or… more
    CVS Health (05/03/25)
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  • Specialist , Pharmacy Ops

    Molina Healthcare (Jacksonville, FL)
    …+ Review and interpret member's eligibility, claim history, and pharmacy benefit information using the PBM claims software to provide information to ... **JOB DESCRIPTION** **Job Summary** The Specialist , Pharmacy Operations is responsible for the oversight...be the primary contact for affiliated health plans, Pharmacy Benefit Managers and Corporate shared services with respect to… more
    Molina Healthcare (04/13/25)
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  • Regulatory Specialist I

    MyFlorida (Tallahassee, FL)
    …as 8:00am and end at 5:00pm. + This advertisement may also be used to fill OPS Regulatory Specialist I positions at $15.00 per hour. + This advertisement package ... REGULATORY SPECIALIST I - 79000736 Date: Apr 29, 2025...Career Service Position Number: 79000736 Salary: $1,439.31 Biweekly / OPS $15.00 hour Posting Closing Date: 05/19/2025 Total Compensation… more
    MyFlorida (04/30/25)
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  • Regulatory Specialist II

    MyFlorida (Tallahassee, FL)
    …to six months from opening date. + This advertisement may also be used to fill OPS Regulatory Specialist II positions at $16.50 per hour. + The applicant will be ... REGULATORY SPECIALIST II - 79010180 Date: Apr 30, 2025...candidate maybe eligible for a flex time schedule. The Benefits of Working for the State of Florida: "… more
    MyFlorida (04/30/25)
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  • Ops Employment Security Rep II - 1 1 1 1 1…

    MyFlorida (Fort Lauderdale, FL)
    …initial or additional claims . This is accomplished through tracking the assigned claim load and utilizing the benefit payment system. + Answers inquiries ... 06/30/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) JOB TYPE: FULL TIME/ OPS POSITION LOCATION: Ft Lauderdale,FL (relocation benefits … more
    MyFlorida (04/10/25)
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  • Ops Employment Security Rep II - 1 1 1 1

    MyFlorida (Orlando, FL)
    …initial or additional claims . This is accomplished through tracking the assigned claim load and utilizing the benefit payment system. + Answers inquiries ... Salary: $20.70 Posting Closing Date: 06/30/2025 JOB TYPE: FULL TIME/ OPS POSITION LOCATION: Orlando,FL (relocation benefits are...potential issues and the chargeability of employer accounts for benefit payments on claims . This may be… more
    MyFlorida (04/03/25)
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  • Ops Employment Security Rep II - 1 1 1 1 1

    MyFlorida (Tallahassee, FL)
    …initial or additional claims . This is accomplished through tracking the assigned claim load and utilizing the benefit payment system. + Answers inquiries ... 06/30/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) JOB TYPE: FULL TIME/ OPS POSITION LOCATION: Tallahassee,FL (relocation benefits are… more
    MyFlorida (03/19/25)
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