• Appeals Analyst

    Highmark Health (Tallahassee, FL)
    …of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals ; initiates a case file for each grievance and appeal; ensures ... all involved parties. + Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross… more
    Highmark Health (01/08/25)
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  • Analyst , Health Care QM

    CVS Health (Tallahassee, FL)
    …Management Analyst will be responsible for the end-to-end practitioner appeals process and business immediate termination letters. This will include coordination ... Qualifications** -Act as subject matter expert for individual practitioner appeals and immediate termination letters. -Create and collect all documentation… more
    CVS Health (01/11/25)
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  • Senior Consumer Service Analyst

    MyFlorida (Tallahassee, FL)
    SENIOR CONSUMER SERVICE ANALYST - 41000334 Date: Jan 12, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency: Office of the Attorney General Working Title: SENIOR CONSUMER SERVICE ANALYST - 41000334 Pay Plan: Career Service Position Number: 41000334 Salary:… more
    MyFlorida (01/09/25)
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  • Government Analyst II

    MyFlorida (Tallahassee, FL)
    GOVERNMENT ANALYST II - 78003001 Date: Jan 7, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 844192 Agency: Commission on Offender Review Working Title: GOVERNMENT ANALYST II - 78003001 Pay Plan: Career Service Position Number: 78003001… more
    MyFlorida (01/08/25)
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  • Employment Program Specialist

    MyFlorida (Tallahassee, FL)
    …Responsibilities: Under the general supervision of the Benefits Program Supervisor/ Analyst , reviews and analyzes Fraud, Non-Fraud and Non-Monetary overpayment ... Audit (UCO-2), phone calls, and associated mail daily. Responsible for reviewing the appeals decisions to determine the appropriate actions needed as it relates to… more
    MyFlorida (01/11/25)
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