NewTechnical Estimator & Sales Planning Specialist Winchester Interconnect CorporationTechnical Estimator & Sales Planning SpecialistMelbourne, FLIdentify and flag resource center constraints across key departments (e.g., CNC Machine Shop, Production/Assembly, Quality Control, and Shipping/Logistics) prior to job scheduling. Directly flag and track long-lead materials to trigger early-stage procurement cycles, guaranteeing that the raw inventory lands perfectly aligned with scheduled launch dates.
NewCustomer Outreach Specialist Kforce Inc.Customer Outreach SpecialistJuno Beach, FL$30–$34.24Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. By clicking “Apply Today” you agree to receive calls, AI-generated calls, text messages or emails from Kforce and its affiliates, and service providers.
Network and Support Specialist Kforce Inc.Network and Support SpecialistJacksonville, FL$74,800–$101,200Success in this role requires strong troubleshooting abilities, broad technical knowledge, and the flexibility to support both enterprise infrastructure and day-to-day user needs. Summary: The Network and Support Specialist plays a key role in maintaining and supporting the organization's technology infrastructure across both operational and business environments.
Junior to Mid-Level Ad Operations Specialist Kforce Inc.Junior to Mid-Level Ad Operations SpecialistMiami, FL$55,000–$60,000Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. By clicking “Apply Today” you agree to receive calls, AI-generated calls, text messages or emails from Kforce and its affiliates, and service providers.
NewMS&T Specialist I eTeam Inc.MS&T Specialist IDavie, FLThe Investigator I authors and coordinates high-quality investigations for events occurring in Production, Engineering, Quality Control (QC) Laboratory, and related support areas, ensuring timely root cause identification, appropriate product impact assessments, and implementation of effective Corrective and Preventive Actions (CAPAs) to maintain compliant supply. The role applies scientific and technical judgment to evaluate manufacturing and laboratory data, interviews and observation, equipment/utilities performance, and process parameters to support robust root cause analysis and sustainable remediation for OSD unit operations (e.g., blending, granulation, compression, coating, encapsulation, etc.) and associated systems.
Customer Account Specialist BelcanCustomer Account SpecialistMiami, FL$25–$35 / hourActing as the Point of Contact for a group of assigned accounts, they will also be responsible for driving customer satisfaction and accountable for all customer-facing activities and duties, including but not limited to; P.O-review, bookings, RMA"s, credits, reports, follow-up/status, and resolution/relationship-management. Field of Study/Area of Experience:*2+ years of experience in MRO, customer-Service/Inside Sales, Aerospace/Aviation After-Market, or a combination thereof.*Must be a U.S. person: U.S. citizen or permanent U.S. resident.
Full-Service Reviewer (QA Specialist) Paul DavisFull-Service Reviewer (QA Specialist)Jacksonville, FLRemoteComplete accurate, timely estimate and documentation reviews through our main technology platforms: XactAnalysis & Xactimate, Claims Connect & Mobile Claims, Validate, CMS, Mitigate, and other estimating/claim management platforms and software. This position focuses on estimate, documentation, and commentary reviews for specific job types that include but are not limited to water, mold, fire, tarping, board-up, biohazard, abatement, other emergency services, contents, reconstruction, and large losses of all job types.
Bilingual Customer Service Specialist PT Sherwin-Williams CoBilingual Customer Service Specialist PTMiami, FLThe Company therefore has determined that a review of criminal history is necessary to protect the business and its operations and reputation and is necessary to protect the safety of the Companys customers, staff, employees, vendors, contractors, and the general public. The wage range listed for this role takes into account the wide range of factors considered in making compensation decisions including skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Bilingual Branch Wholesale Product Specialist (Spanish) PT Sherwin-Williams CoBilingual Branch Wholesale Product Specialist (Spanish) PTRiviera Beach, FLThe Company therefore has determined that a review of criminal history is necessary to protect the business and its operations and reputation and is necessary to protect the safety of the Company's customers, staff, employees, vendors, contractors, and the general public. The wage range listed for this role takes into account the wide range of factors considered in making compensation decisions including skill sets; experience and training; licensure and certifications; and other business and organizational needs.
OPS Logistics Contractual Specialist - 31902086 Government of FloridaOPS Logistics Contractual Specialist - 31902086TALLAHASSEE, FLFDEM prepares and implements a statewide Comprehensive Emergency Management Plan, routinely conducts extensive exercises to test state and county emergency response capabilities, provides technical assistance to local governments as they prepare emergency plans and procedures, as well as conducts emergency operations trainings for state and local government agencies. Duties include, but are not limited to: Coordinate with project managers, the Office of General Counsel, the Bureau of Financial Management, Office of Procurement, and other partners on all aspects of contract management, including but not limited to contract conceptualization, solicitation preparation, scope of work collaboration and composition, contract evaluation and award, contract administration, contract termination, and contract closeout.
Revenue Cycle Specialist III, RCM Team Select Home Care LLCRevenue Cycle Specialist III, RCMMiami, FL$18–$24 / hourThe Revenue Cycle Specialist III is a position that calculates and posts receipts to appropriate accounts, verifies details of transactions; performs billing, posting and collection of claims related to specific payers. Handles critical accounts and projects, coordinating with management, operations, and payers to ensure issues are resolved.
GRANTS SPECIALIST V - 31001017 Government of FloridaGRANTS SPECIALIST V - 31001017TALLAHASSEE, FLFDEM prepares and implements a statewide Comprehensive Emergency Management Plan, routinely conducts extensive exercises to test state and county emergency response capabilities, provides technical assistance to local governments as they prepare emergency plans and procedures, as well as conducts emergency operations trainings for state and local government agencies. These may include appropriate working papers relating to the calculation of award funding allocation; tracking/status reports of grantee expenditure and reporting requirements; reports tracking and monitoring FDEM's receipt and distribution of specified grant-in-aid funding awards; and various reports relating to competitive grant scoring data.
Part-Time Records Specialist LifeSouth Community Blood CentersPart-Time Records SpecialistGainesville, FL$14–$15.40 / hourThis position is responsible for reviewing and ensuring accurate documentation of donor records including, but not limited to, analyzing company programs and reports, generating reports of trends to provide follow-up with regions, merging duplicate donor records, and providing important data corrections so that units are safe to be released to hospitals daily. This position is also responsible for preparing records for safekeeping, organizing for easy retrieval, providing storage and scanning documents into electronic format for company use.
Billing Specialist ChenMed LLCBilling SpecialistMiami, FL$22–$31.42 / hourSupports and performs the operations of the billing department including but not limited to; medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management. This position serves as "super-user" for billing systems, including but not limited to maintaining edits, bridge routines, and establishing and maintaining billing system vendor and IT relationships.
Cellular Therapies Logistics Specialist LifeSouth Community Blood CentersCellular Therapies Logistics SpecialistGainesville, FL$17–$18.70 / hourKey responsibilities include maintaining spreadsheets and databases, generating reports and communications for both internal and external customers, and overseeing logistics for cellular therapy products used in research; including product inventory management. In this role, you will be responsible for managing data integrity and workflow related to the procurement, handling, storage, and shipment of cord blood and cellular therapy products.
Laboratory Support Specialist LifeSouth Community Blood CentersLaboratory Support SpecialistGainesville, FL$16.50–$18.15 / hourThis position is responsible for performing routine laboratory tasks in compliance with organizational policies and procedures related to processing blood specimens and components, including preparation and transport of blood specimens and components. Ensure specimens and accompanying testing forms are labeled properly and acceptable for testing; investigate related sample specimen or paperwork problems.
NewCord Blood Donation Recruitment Specialist LifeSouth Community Blood CentersCord Blood Donation Recruitment SpecialistJacksonville, FL$17–$18.70 / hourTo provide a safe blood supply that meets or exceeds the needs in each community we serve, and to provide a variety of services in support of ongoing and emerging blood and transfusion related activities. Experience: Preferred experience in patient consent, clinical research, hospital outreach, public health fieldwork, labor and delivery, hospitals, obstetrical offices, and/or health/patient education.
New881730 - CUSTOMER SERVICE SPECIALIST - 40041071 Government of Florida881730 - CUSTOMER SERVICE SPECIALIST - 40041071CHIPLEY, FLCandidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Screen and refer applicants to available job openings and/or training opportunities, perform job development contacts, provide labor market information, provide employment counseling as appropriate, and refer to testing and/or other supportive services as appropriate.
Safety and Compliance Specialist Saltchuk CompaniesSafety and Compliance SpecialistJacksonville, FLWork EnvironmentWork performed in both office and operational environmentsFrequent interaction with terminal operations vessel crews contractors and business partnersExposure to marine terminals vessels warehouses cargo handling equipment and active operational environmentsAbility to work outdoors in varying weather conditionsOccasional travel may be requiredMust be available to respond to operational incidents emergencies and compliance investigations as neededCompensation & BenefitsCompensationCompetitive compensation based on experience education certifications and qualifications. TOTE Maritime Puerto Rico is seeking a highly motivated and detail-oriented Safety & Compliance Specialist to support and strengthen our commitment to providing safe reliable and environmentally responsible transportation services.
Real Property Specialist ASRC Federal Holding CompanyReal Property SpecialistCape Canaveral, FLThe salary offered will depend on several factors including, but not limited to, relevant experience, skills, education, geographic location, internal equity, business needs, and other factors permitted by law. Skill Requirements/Qualifications: A background in Air Force Civil Engineering and/or formal education and working knowledge of federal real property accounting and programming policy set by Air Force Instruction is desirable.
Program Planning & Control (PP&C) Business Specialist Senior ASRC Federal Holding CompanyProgram Planning & Control (PP&C) Business Specialist SeniorMerritt Island, FLCoordinates with Supply Chain stakeholders including Procurement, Quality, Shipping & Receiving and Operations management to determine appropriate time phased plan for procured parts and executes processes to ensure deliverables meet production schedule requirements. Position Summary: Orion Spacecraft Master Production Scheduler (MPS) will create and maintain detailed production schedules for the Orion spacecraft while executing Material Resource Planning (MRP) activities.
NewAccounts Payable Specialist LemartecAccounts Payable SpecialistMIAMI, FloridaFull timeOverview: The Accounts Payable Specialist is responsible for but not limited to, efficiently performing a broad range of purchase–to–pay process–related tasks that involve vendor and subcontractor invoices, company credit cards, expense account charges, and associated controls and payment processing to ensure financials are accurate and current and that vendors are being paid within established time limits. In infrastructure, we specialize in general heavy civil construction, underground utilities, structures, electrical work, material production, roadways, bridges, specialty pavement overlays, environmental projects, and commercial buildings.
Research Regulatory Affairs Specialist I Florida Cancer Specialists and Research InstituteResearch Regulatory Affairs Specialist IWest Palm Beach, FLCollect and maintain study specific documentation in the appropriate Regulatory Binder as well as the electronic document system including: Create and maintain the FCS Research Delegation of Authority logs and role specific profiles, ensure revised profiles to investigators and research staff as roles and responsibilities necessitate. Ability to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations.
NewProduction Planning & Control (PP&C) Business Specialist Senior ASRC Federal Holding CompanyProduction Planning & Control (PP&C) Business Specialist SeniorMerritt Island, FLCoordinates with Supply Chain stakeholders including Procurement, Quality, Shipping & Receiving and Operations management to determine appropriate time phased plan for procured parts and executes processes to ensure deliverables meet production schedule requirements. Position Summary: Orion Spacecraft Master Production Scheduler (MPS) will create and maintain detailed production schedules for the Orion spacecraft while executing Material Resource Planning (MRP) activities.
Contracts Administrator ThreatLockerContracts AdministratorOrlando, FLThe ThreatLocker® platform with Application Allowlisting, Ringfencing, Storage Control, Elevation Control, Endpoint Network Control, Configuration Management, and Operational Alert solutions are leading the cybersecurity market toward a more secure approach of blocking the exploits of application vulnerabilities. While performing duties of this job, would occasionally require to stand, walk, sit, reach with hands and arms, climb or balance, stoop or kneel, talk and hear, and use fingers and hands to feel objects and tools.
Senior Contract Administrator and Budget Coordinator Florida Atlantic UniversitySenior Contract Administrator and Budget CoordinatorBoca Raton, FL$65,000–$75,000 / yearAssists the Director and departments with annual budget requests; provides detailed reports on previous fiscal budget requests, and year-over-year variances; provides annual purchase order details and produces relevant statistical and historical financial reports. In addition to helping drive change and having a positive impact by supporting our students, staff, and faculty, FAU offers: Excellent benefit packages including Medical (PPO/HMO $50 per month single & $180 per month family), Dental, Vision, Life Insurance, Flexible Spending plans, Employee Assistance Program (EAP) and much more.
Pave Maint Specialist J & J Maintenance, Inc.Pave Maint SpecialistTyndall AFB, FLPerforms maintenance, repair and installation of both rigid and flexible pavements, curbs and gutters, sidewalks, storm water drainage systems and chain link fences. Tasks may be performed on uneven, inclined, hard and soft surfaces, pavement structures and surfaces at variable heights.
Program Administration Specialist AevexProgram Administration SpecialistTampa, FloridaThe company's capabilities include custom design and engineering; rapid prototyping; sensor integration and sustainment; aircraft modification and certification; flight test instrumentation and support; mission operations service; advanced intelligence data processing, exploitation, and dissemination solutions; and tailored hardware and software mission-system tools. AEVEX uses agile and customized approaches to rapidly define, develop, and deliver specialized solutions for airborne special mission needs for the U.S. Government, partner nations, and commercial businesses.
Research Support Specialist Genetics - Temporary University of South FloridaResearch Support Specialist Genetics - TemporaryTampa, FLUSF is a member of the Association of American Universities (AAU), a group that includes only the top 3% of universities in the U.S. With an all-time high of $738 million in research funding in 2024 and as a top 20 public university for producing U.S. patents, USF uses innovation to transform lives and shape a better future. The primary purpose of this position is to recruit and retain study subjects while coordinating their visits and managing data gathered as a result of their investigator participation, initiated, and sponsored research projects, all while staying compliant with FDA and IRB guidelines and regulations.
Retail- Purchasing Specialist Quirch FoodsRetail- Purchasing SpecialistCoral Gables, FloridaDiscusses defective or unacceptable goods or services with inspection or quality control personnel, users, vendors, and others to determine source of trouble and take corrective action. Quirch Foods is a diverse family of companies on a quest to seek and source environmentally conscious and sustainable food products to our customers.
Sourcing Specialist-Level 1 - Associate (0 - 5 Years) MindlanceSourcing Specialist-Level 1 - Associate (0 - 5 Years)Juno Beach, FLThis role partners with internal stakeholders and suppliers to facilitate sourcing events, process procurement transactions, and maintain accurate documentation. The Procurement Associate supports the execution of day-to-day procurement activities, ensuring efficient, compliant purchasing of goods and services.
Pavement Maintenance Specialist J & J Maintenance, Inc.Pavement Maintenance SpecialistTyndall AFB, FLJob Summary: Performs maintenance, repair and installation of both rigid and flexible pavements, curbs and gutters, sidewalks, storm water drainage systems and chain link fences. THIS DOCUMENT SHOULD NOT BE CONSTRUED AS CREATING A CONTRACT OF EMPLOYMENT BETWEEN CBRE GOVERNMENT & DEFENSE SERVICES AND ANY OF ITS EMPLOYEES OR OTHERWISE ALTERING AN EMPLOYEE'S AT WILL EMPLOYMENT RELATIONSHIP WITH CBRE GOVERNMENT & DEFENSE SERVICES.
Provider Network Relations Quality Specialist Acuity InternationalProvider Network Relations Quality SpecialistCape Canaveral, FL, FLQualifications: High School diploma with 1 year of relevant experience (provider relations, network management, customer service, or quality assurance) required. Duties and Responsibilities: Ensure ongoing provider network data accuracy through regular reconciliation of the Provider Information Network Systems (PINS) and SharePoint sites.
Clinical Quality Support Specialist TriWest Healthcare AllianceClinical Quality Support SpecialistTampa, FLRemoteFull timeOrders/receives medical records for Potential Quality Issues (PQI and CQM Department activities according to desk procedures, conducts follow-up telephone calls to providers, and completes other processes to resolve missing documents. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.
Administrative Specialist Johnson Service GroupAdministrative SpecialistTampa, FLCore responsibilities include: gathering, preparing, and summarizing relevant materials for use by legal counsel; assisting with the collection, processing, review, and production of electronic data from internal and external resources; leading strategic and tactical corporate legal initiatives; conducting legal research and factual investigations; managing and maintaining data in legal software platform; drafting, tracking, and managing contracts, addendums and other documentations; facilitating business transactions; ensuring corporate compliance; evaluating the effectiveness and efficiency of administrative, operational, and financial management processes and working with the Executive Assistant to ensure efficient operation of the department. Position Summary Description The Corporate Paralegal will report to the Executive Vice President and Chief Legal Officer as well as the Director of Legal Services and Assistant General Counsel (Assistant GC) and will act as the lead support to counsel and liaise to business units and departments, outside counsel, and third parties.
Physical Therapist - Travel Contract Jackson Therapy PartnersPhysical Therapist - Travel ContractBoca Raton, FLp> Florida Jobs: Level 2 background screening is Florida's highest level of background check and is required by Section 435.04 of Florida Statues for individuals working in positions of responsibility or trust. Click here to learn more: Education & Awareness | Florida Agency for Health Care Administration. .
Informatics Clinical Data Curator (1099 Contract) Florida Cancer Specialists and Research InstituteInformatics Clinical Data Curator (1099 Contract)FLThe Informatics Clinical Data Curator is an influential member of the Informatics team and acts a subject matter expect in all clinical data elements and assists in bringing an infinite mindset as to the art of the possible from a 'trusted data' perspective. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida.
Construction Manager gTANGIBLE CorporationConstruction ManagerKey West, FloridaParticipate in final acceptance and testing of major building systems including but not limited to fire protection certification, elevator certifications, ensuring contractor compliance in the areas of Testing and Balancing (TABs), Duct Air Leakage Testing (DALTS), Digital Control Systems (DDC) for HVAC systems. Contractor employees performing services must meet the following requirements and have the following licenses and/or certifications, knowledge, skills, and abilities: Construction Managers shall possess a Bachelor Degree in engineering from an ABET accredited university or in architecture from a NAAB accredited university.
NewProcurement Specialist III Greenheck Fan CorpProcurement Specialist IIIbushnell, FL$95,161–$117,552 / yearLead the development, implementation, and continuous improvement of procurement SOPs and material specifications for purchased parts; partner cross-functionally to establish and maintain specifications for purchased parts and materials that support consistent quality, supplier accountability, cost management, and continuity of supply. As a Procurement Specialist III for Greenheck Group you will strategically manage complex procurement processes, optimize costs, and ensure the organization's procurement activities contribute to its overall success and competitiveness in the market.
Contract Administrator Limbach Holdings IncContract AdministratorTampa, FL$56,000–$60,000 / yearAs Contract Administrator, you will be responsible for reviewing, monitoring and entering downstream contracts and agreements for Operational Finance's Shared Services Department, while ensuring compliance from a risk perspective in the areas of legal, insurance, and limits of authority. Limbach Facility Services LLC, a subsidiary of Limbach Holdings, Inc., (NASDAQ: LMB), is a leading building systems solutions firm delivering mission-critical systems that support life's most important moments.
Senior Contract Administrator Kratos DefenseSenior Contract AdministratorOrlando, FLEnsuring department processes and procedures are followed for complete contract life cycle management such as: maintaining complete contract files; reviewing and negotiating modifications; developing and maintaining a contract requirements flow-down matrix; contract compliance; proposal certification; monitor timely submission of data deliverables; and risk mitigation in concert with Program teams as required. Must be a self-starter with reasonable business acumen, excellent customer/communication skills and working knowledge and understanding of Government procurement regulations ( FAR, DFAR and GSA schedule process), functional understanding of legal and financial principles as it relates to various contract types.
Specialist, Appeals & Grievances Molina Healthcare IncSpecialist, Appeals & GrievancesFLRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Skillbridge Opportunity: Specialist Accountant & Program Manager - Xscale AI Data Center Equinix, Inc.Skillbridge Opportunity: Specialist Accountant & Program Manager - Xscale AI Data CenterTampa, FLPartner closely with team members and functional leads across xScale Controllership to understand current processes, pain points, and upstream/downstream dependencies across Capex, Revenue Operations, General Accounting, and Reporting. This opportunity provides hands-on experience in a hybrid role that combines accounting expertise with program management to support the buildout of our xScale AI data centers-critical infrastructure powering the future of artificial intelligence and hyperscale computing.
Project Reporting Specialist IS International ServicesProject Reporting SpecialistOrlando, FLThe employee may be required to adhere to MPSA and customer safety procedures including but not limited to, the use of personal protection equipment (hardhat, safety glasses, goggles, hearing and fall protection). · Computer Skills: Knowledge of databases, project management, spreadsheet, word processing software, and electronic mail.
Senior Customer Service Specialist Oracle CorpSenior Customer Service SpecialistOrlando, FL$19.09–$36.35 / hourOracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business. You will support both internal and external clients through phone, ticket, and electronic support channels while gaining exposure to Oracle Health applications, workflows, and support methodologies.
Service Specialist - Implementation Client Consultant Paychex IncService Specialist - Implementation Client ConsultantSt Petersburg, FL$22.02–$30 / hourIf you are hired at Paychex, your overall compensation will be determined based on factors such as geographic location, skills, education, and/or experience which may result in total compensation outside of this range. Uses prescribed guidelines to ensure good customer relations are maintained and customer claims and complaints are resolved fairly, effectively and in accordance with Paychex policies and procedures.
Financial Wellbeing Specialist Paychex IncFinancial Wellbeing SpecialistSaint Petersburg, FL$21.10–$35.30 / hourLeads performing daily administration functions such as file feed transfers from external vendors to company's HR system, data audits and statistical reporting on the retirement plans, tuition assistance and other financial well-being programs for the purpose of maintaining continuity and integrity of employee-initiated transactions and measuring employee participation. As Paychex and Paycor come together, we're combining innovative technology, data-driven insights, AI, and human expertise to help organizations work smarter, support their people, and achieve better business outcomes.
PEO Benefits Specialist I - 11AM - 8PM EST Paychex IncPEO Benefits Specialist I - 11AM - 8PM ESTSaint Petersburg, FL$17.64–$27.72 / hourAs Paychex and Paycor come together, we're combining innovative technology, data-driven insights, AI, and human expertise to help organizations work smarter, support their people, and achieve better business outcomes. Maintains knowledge of all changes pertaining to various product offerings, regulatory changes, policy changes and industry developments to ensure compliance with departmental processes and company guidelines are met as they relate to PEO.
SkillBridge Opportunity: Specialist Accountant & Program Manager – xScale AI Data Center EquinixSkillBridge Opportunity: Specialist Accountant & Program Manager – xScale AI Data CenterTampa, FloridaPartner closely with team members and functional leads across xScale Controllership to understand current processes, pain points, and upstream/downstream dependencies across Capex, Revenue Operations, General Accounting, and Reporting. This opportunity provides hands-on experience in a hybrid role that combines accounting expertise with program management to support the buildout of our xScale AI data centers—critical infrastructure powering the future of artificial intelligence and hyperscale computing.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)St Petersburg, FLRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.