• Director - Financial Operations (Hospital)

    Trinity Health (Fort Lauderdale, FL)
    …in a complex delivery system with a multi-specialty medical group and a Medicare Advantage health plan.** **Our Commitment** Rooted in our Mission and Core ... Ensures a healthy working environment.** **Essential Functions:** **Our Trinity Health Culture:** Knows, understands, incorporates & demonstrates our Trinity … more
    Trinity Health (08/20/25)
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  • Director, Provider Contracting

    Humana (Miami, FL)
    … Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help ... part of our caring community and help us put health first** Humana is a Fortune 60 market leader...affiliate, CarePlus, operates in 21 Florida counties, offering Medicare Advantage HMO plans that have been awarded 5-Star ratings… more
    Humana (08/23/25)
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  • Bilingual Outbound Telephonic UM Coordinator

    Humana (Tallahassee, FL)
    … Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help ... part of our caring community and help us put health first** The Bilingual Outbound Telephonic UM Administration Coordinator...or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services… more
    Humana (08/23/25)
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  • Provider Contracting Executive

    Humana (Tallahassee, FL)
    … Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help ... part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and...or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services… more
    Humana (08/19/25)
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  • RN Labor and Delivery

    Amergis (Fort Myers, FL)
    …in most major cities across the country + Premium pay rates with tax advantage compensation + Health /Dental/Vision Insurance available on 1 st of month + ... Questionnaire, PPD or chest x-ray if applicable + Current Health certificate (per contract or state regulation) + Must...following benefits: + Competitive pay & weekly paychecks + Health , dental, vision, and life insurance + 401(k) savings… more
    Amergis (08/28/25)
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  • Medical Director - Mid West Region

    Humana (Tallahassee, FL)
    …management experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance. + Experience ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (08/08/25)
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  • Medicare Compliance Manager (Medicare…

    Molina Healthcare (Tampa, FL)
    …and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, ... Education** Masters Degree preferred; will consider previous experience in health plan setting in government programs management (Contract Manager) **Preferred… more
    Molina Healthcare (07/25/25)
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  • Medical Director - NorthEast Region

    Humana (Tallahassee, FL)
    …management experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance. + Experience ... part of our caring community and help us put health first** The Medical Director relies on medical background...+ Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other Medical… more
    Humana (07/25/25)
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  • Medical Director -Pharmacy Appeals

    Humana (Tallahassee, FL)
    …management experience in a medical management review organization such as Medicare Advantage , managed Medicaid, or Commercial health insurance + Experience with ... part of our caring community and help us put health first** The Medical Director relies on broad clinical...Medical Directors will learn Medicare Part D and Medicare Advantage requirements and will understand how to operationalize this… more
    Humana (08/22/25)
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  • Medicare Sales Agent - BayCare Health Plans

    BayCare Health System (Clearwater, FL)
    …season. **To Learn more about this area:** + BayCarePlus Medicare Advantage Plans (https://baycare.org/medicare- advantage -plans) **Facility:** BayCare Health ... consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of… more
    BayCare Health System (07/29/25)
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