• Director, Grievance and Appeals

    Humana (Tallahassee, FL)
    …all operational goals, including regulatory compliance requirements + Promotes and builds an "Audit Ready Every Day" culture + Further simplifies and improves ... time + And more **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree in business...age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
    Humana (05/30/25)
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  • Senior Learning Design Professional

    Humana (Tallahassee, FL)
    …complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Learning Design Professional will ... determining objectives and approaches to assignments. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree or equivalent years of… more
    Humana (05/30/25)
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  • Senior Clinical Pharmacist

    CenterWell (Tallahassee, FL)
    …complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Clinical Drug Evaluation and Policy ... others in problem solving without taking over. **Use your skills to make an impact** **Required Qualifications** **Pharmacy degree from an accredited school of… more
    CenterWell (05/29/25)
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  • Medical Receptionist

    CenterWell (Port Saint Lucie, FL)
    …guidelines with minimal opportunity for deviation. **Use your skills to make an impact** **Required Qualifications** + Bilingual English and Spanish preferred, but ... Outlook, Access) + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications**… more
    CenterWell (05/29/25)
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  • VP, Centerwell PCO, IPA CMO

    CenterWell (Tallahassee, FL)
    …health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience. At PCO we want to help those in the ... be the growth engine for the Centwell and Conviva business going forward. This is an incredibly exciting opportunity to help shape the future of this business at a… more
    CenterWell (05/28/25)
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  • AVP, Model Validation

    Synchrony (Altamonte Springs, FL)
    …a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter , or using specialized ... visa term in order for Synchrony to petition for an employment based visa on behalf of such applicant....of such applicant. L1 visa would be considered for an internal candidate meeting all requirements for the L1… more
    Synchrony (05/25/25)
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  • Hybrid MSW Care Navigator

    CenterWell (Daytona Beach, FL)
    …community and help us put health first** **Job Functions** Working within an interdisciplinary care team, the Care Navigator is responsible for proactively engaging ... of the team, and handle clinical escalations as indicated. This role requires an understanding of how socio-economic stressors can impact ability to engage in… more
    CenterWell (05/20/25)
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  • Medical Director - Medicaid N. Central

    Humana (Tallahassee, FL)
    …complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their ... resolution skills. Other duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more
    Humana (05/14/25)
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  • Chief Financial Officer-County Health Dept…

    MyFlorida (Fort Lauderdale, FL)
    …- 64027097 Date: May 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... and support to program managers regarding budget development, monitoring and reports on an ongoing basis. Ensure all state and federal OCAs are balanced within the… more
    MyFlorida (05/12/25)
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  • Medical Record Retrieval Specialist

    Humana (Gainesville, FL)
    …duties that require independent initiative and judgment. **Use your skills to make an impact** Required Qualifications + 1 or more years experience with Medical ... knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems + This...age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
    Humana (05/10/25)
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