- Molina Healthcare (Miami, FL)
- …opportunities for process developments and improvements. + Provides oversight of research and analytics associated with medical claims processing requirements ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage… more
- Orlando Utilities Commission (Orlando, FL)
- **OUC - The** **_Reliable_** **One** **,** is presently seeking a ** Manager of Insurance & Claims ** to join the Risk Management department within the Office of ... Commission; + Consult with internal and external legal counsel in support of claims litigation; + Research , negotiate and purchase commercial insurance and… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Job Summary** Manager , Clinical Supply Operations manages Phase I-IV clinical studies, including coordination of packaging, labeling, blinding of ... supply vendors. + Assist with forecasting and ordering bulk research drugs from manufacturing department. + Support with developing...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- MyFlorida (Chattahoochee, FL)
- …AGENCY FOR PERSONS WITH DISABILITIES POSITION: 67014021 WORKING TITLE: Risk Manager POSITION TITLE: Operations Review Specialist POSITION NUMBER: 67014021 ... OPERATIONS REVIEW SPECIALIST - 67014021 APD, DDDP/ PATHWAYS...responsible professional, administrative position serves as the DDDP/Pathways Risk Manager /Safety Officer. The primary goal is to reduce, control,… more
- HCA Healthcare (Fort Walton Beach, FL)
- …limits? Our HCA Florida Fort Walton-Destin Hospital team is looking for a(an) Manager Risk Management. HCA Healthcare is an advanced healthcare network that has ... may vary by location._** HCA Healthcare is committed to research and clinical protocols. Do you want to impact...save lives across the country? Apply today to our Manager Risk Management and be a part of the… more
- MyFlorida (Tallahassee, FL)
- FINANCIAL MANAGER I - 43000423 Date: Jun 6, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 854651 Agency: Office of Insurance Regulation Working Title: FINANCIAL MANAGER I - 43000423 Pay Plan: SES Position Number: 43000423 Salary: 65,000.00… more
- Sumitomo Pharma (Tallahassee, FL)
- …Co., Ltd. is a global pharmaceutical company based in Japan with key operations in the US (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma Canada, Inc.) ... diverse pipeline of early- to late-stage assets, we aim to accelerate discovery, research , and development to bring novel therapies to patients sooner. For more… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- The Manager , Fraud, Waste & Abuse (FWA) provides leadership and oversight of the FWA area. The position involves the management of the FWA Program in compliance with ... and oversee the FWA Program and work plan + Lead special investigations + Research , investigate and report fraud, waste and abuse cases + Utilize internal system,… more
- Carrier (Palm Beach Gardens, FL)
- …will manage the defense of the company's commercial, contracts, warranty, general claims , discontinued operations and other product and non-product liability ... are necessary in the following areas: legal issue identification; legal research through Westlaw and/or Lexis (including case law, statutes, regulations, etc.);… more
- MyFlorida (Tallahassee, FL)
- GOVERNMENT OPERATIONS CONSULTANT II - 64000111 Date: Jun 18, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 855331 Agency: Department of Health Working Title: GOVERNMENT OPERATIONS CONSULTANT II - 64000111 Pay Plan: Career Service Position Number:… more
- MetLife (Tampa, FL)
- Title: Account Manager - Association Team (Internal MetLife Title: Senior Affinity Consultant) Role Value Proposition: MetLife is leading growth in Specialty Market ... customers as part of the Specialty Market Service & Operations Organization. In this role, you will partner closely...range from 100 to over 100,000 eligible members . Research and define opportunities to improve profitability and retain… more
- …Analyze data and market insights to understand consumer needs and wants + Research competitors and suggest appropriate pricing + Manage site specific market cost ... monitor SOPs ensuring that pick locations are checked daily + Collaborating with Operations and Food Safety teams + Work cross-functionally with QA and Operations… more
- Bank of America (Tampa, FL)
- …degree, preferably in a quantitative discipline such as mathematics, statistics, operations research , engineering, computer science, finance, or business. ... working across multiple lines of business; partnering with product, technology, operations , vendors, and others; responsibility for the overall first party fraud… more
- Percepta (Melbourne, FL)
- …Specialists with automotive technical expertise, customer support, and reviewing high dollar claims for technical approval. In addition, they will work with Houston ... parts delays, by 1) facilitating finding the part, 2) working with the operations , leadership, and business partners on process improvement ideas,3) ownership of the… more
- Bank of America (Jacksonville, FL)
- …This job is responsible for overseeing the day-to day transaction processing operations function, and ensuring the team executes operations tasks with ... appropriate + Conducts quality assurance reviews and provides routine supervisory manager approvals + Researches complex operational and client requests, issues, and… more
- City of Boca Raton (Boca Raton, FL)
- …Location FL 33432, FL Job Type Full-Time Job Number 4258 Department City Manager - Admin, IT, MS Division Human Resources 04/02201 Opening Date 06/10/2025 Closing ... and retiree coverage. Under the administrative direction of the Benefits Manager , the Benefits Analyst applies professional expertise to analyze business processes,… more
- Leonardo DRS, Inc. (Largo, FL)
- …analysis, revenue and profit forecasting and general support to the program manager /program team with business and financial analysis. + Schedule/Hours - Monday ... the definition of contract requirements and risks, and, market research + Support proposal preparations including: bid/no-bid requirements; cost estimating;… more
- MyFlorida (St. Petersburg, FL)
- …officials and regulatory agencies as requested or directed by supervisor/ manager . + Coordinates and assists department legal/board staff regarding administrative ... other people are saying and asking questions as appropriate; conduct fact-finding research ; knowledge of the methods of data collection and analysis; organize data… more
- Sysco (Jacksonville, FL)
- …updates system as needed + Performs date swaps for short dated product + Assists with claims research + Assists in operations as needed **Education:** + HSD ... transfers relative to country item codes and reviews daily adjustments with Inventory Manager to ensure accuracy + Works with slotting coordinator to ensure items… more