• Associate Director, Provider Enrollment

    LogixHealth (Dania Beach, FL)
    … services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... and monitor contract termination dates and make sure that claims are processed based on the contracted rates. Key...Preferred: + Three to five years experience in healthcare management Benefits at LogixHealth: We offer a comprehensive benefits… more
    LogixHealth (07/25/25)
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  • Provider Enrollment Specialist

    LogixHealth (Dania Beach, FL)
    … services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... collaborative environment and bring your expertise to ensure groups can submit claims to insurance carriers for reimbursement . The ideal candidate will have… more
    LogixHealth (08/08/25)
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  • Medical Director Physician Advisor UM - Remote

    AdventHealth (Tampa, FL)
    …the Physician Advisor is responsible for providing clinical review of utilization, claims management , and quality assurance related to inpatient care, outpatient ... **:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary support for Care Management... Management (UM) and secondary support for Care Management (CM) departments and serves as a liaison between… more
    AdventHealth (08/27/25)
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  • Sr. Project Manager

    Siemens Energy (Orlando, FL)
    …Risk Management , Scheduling, Customer Management , Leadership, Team building, Change- Management and Claims Management etc.) with a strong commitment ... line with 'Project Excellence at Siemens Energy' (PE@SE) & the Business Management System. + Ensuring compliance with all Regulations, Legislation, and Corporate… more
    Siemens Energy (08/02/25)
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  • Risk Management Coordinator

    HCA Healthcare (West Palm Beach, FL)
    …general liability risk exposure. Responsible for coordinating activities that focus on the management of claims and pre trial preparation. Also responsible for ... care like family! Jump-start your career as a(an) Risk Management Coordinator today with HCA Florida JFK North Hospital....is responsible for the maintenance of the risk and claims process on a day to day basis insuring… more
    HCA Healthcare (08/24/25)
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  • Big Data Engineer - Medicare/Medicaid

    Molina Healthcare (Jacksonville, FL)
    …* Prior experience working in the healthcare industry with familiarity in clinical, claims , or care management data. * Experience with cloud platforms (AWS, ... data team. This role encompasses the end-to-end design, development, and management of large-scale data systems tailored for healthcare analytics. The ideal… more
    Molina Healthcare (08/26/25)
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  • Treasury - Senior Quality Analyst (Bilingual…

    Bank of America (Miami, FL)
    …coaching + Self-motivated and results-oriented with excellent organizational skills **Skills:** + Claims Management + Controls Management + Monitoring, ... Surveillance, and Testing + Policies, Procedures, and Guidelines Management + Quality Assurance + Attention to Detail +...+ Quality Assurance + Attention to Detail + Investigation Management + Problem Solving + Risk Management more
    Bank of America (08/02/25)
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  • Sr Medical Economics Analyst

    AdventHealth (Maitland, FL)
    claims analytics Managed Care, Patient Financial services, health insurance claims processing, contract management , or medical economics Proficiency in ... using knowledge of healthcare managed care contracts and administrative claims data. + Employs existing complex models and implements...understanding professional and facility claims and managed care concepts such as risk adjustment,… more
    AdventHealth (08/28/25)
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  • Project Manager

    Traylor Bros., Inc. (Bradenton, FL)
    …general and special terms and conditions. . Experienced with proven results in claims management and dispute resolution. . Experience with Design-Build, EPC, ... life. "Me first" belongs here. Education: . Bachelor's Degree Construction Management , Construction Engineering Management , Civil or Mechanical Engineering, or… more
    Traylor Bros., Inc. (08/13/25)
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  • Utilization Management RN

    AdventHealth (Orlando, FL)
    …and other members of the multidisciplinary care team to effect timely, appropriate management of claims . + Utilizes advanced conflict resolution skills as ... that support our hospital system including Marketing, Patient Financial Services, Revenue Management , the Credit Union and Human Resources. + The Trickle Building, a… more
    AdventHealth (08/28/25)
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