• Grievance Specialist -Health Plan

    BayCare Health System (Clearwater, FL)
    …remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Grievance Specialist -Health Plan **Location** Clearwater:Park Place | Business ... built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **Summary:** + Manages intricate grievances, collaborating closely with… more
    BayCare Health System (09/30/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Tallahassee, FL)
    …the Organization's value-based reimbursement programs for both the commercial and government business with a focus on enterprise goals including but not limited to ... experience in managed care, primary care management or other clinical setting. + Experiencein Lean, Six Sigma, TQI, TQC...+ Demonstrates a deep understanding of primary care practice operations and workflow across the continuum of variability in… more
    Highmark Health (08/20/25)
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  • Long Term Disability Claims Specialist I

    MetLife (Tampa, FL)
    …interactions * Organizational and time management skills Preferred: * Bachelor's degree Business Category Operations - Claims At MetLife, we're leading the ... visits to the assigned office as needed for team events, meetings, training, business continuity, etc. * Effectively manages some level of oversight an assigned… more
    MetLife (10/15/25)
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  • Regional Clinical Service Manager, CAS

    Medtronic (Jacksonville, FL)
    …setting, performance reviews, and individual development planning (IDP's). + Responsible Clinical Specialist recruiting and hiring. Continually work to maintain ... a strong, diverse bench of Clinical Specialist talent for future hiring opportunities....effective use of Medtronic CAS products and related procedures. Business Operations + Business Discipline:… more
    Medtronic (09/06/25)
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  • Associate Center Clinical Director

    ChenMed (Margate, FL)
    …of his/her assigned center, he/she will also assist the MCMO in managing day-to-day clinical and business operations and building positive relationships with ... incumbent in this role is accountable for maximizing overall clinical value while engaging physicians to improve clinical...+ Assists MCMO with recruiting and interviewing PCP and specialist candidates ( _Note: MCMO makes hiring decisions_ ).… more
    ChenMed (09/09/25)
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  • Director Ambulatory Clinical Pharmacy

    AdventHealth (Altamonte Springs, FL)
    Clinical Pharmacy leads the development, implementation and maintenance of clinical pharmacy programs for outpatient pharmacy operations , specialty pharmacy ... operational pharmacy initiatives in collaboration with a cross-functional team of pharmacy, clinical , operating, and business leaders of AdventHealth and outside… more
    AdventHealth (08/26/25)
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  • Program Manager, Healthcare Services…

    Molina Healthcare (FL)
    …**Required Qualifications** + At least 5 years of health care experience, including experience in clinical operations , and at least 3 or more years in one or ... Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). … more
    Molina Healthcare (10/10/25)
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  • Area Technical Operations Manager…

    Fresenius Medical Center (Coral Springs, FL)
    …and non-exempt employees. + Works with Area Managers and/or Directors of Operations to ensure that operational, financial and regulatory requirements associated with ... as recommended by the manufacturer and by procedures established by FMCNA Clinical /Technical services as documented in the FMCNA Policies and Procedures. + Document… more
    Fresenius Medical Center (09/17/25)
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  • Manager Hospital Medicine Program

    AdventHealth (Altamonte Springs, FL)
    …Performance will manage and direct projects involving Hospital Medicine including clinical , business , staffing, finance, operational efficiency, mission and ... you'll need to succeed:** Bachelor's Degree in healthcare or business related field 5 years healthcare clinical ...at all levels of the organization. In-depth knowledge of clinical and non- clinical hospital operations more
    AdventHealth (10/06/25)
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  • Associate Medical Director

    CenterWell (Daytona Beach, FL)
    …to adapt responsibilities as needed and demands a unique blend of clinical management, financial/ business acumen, and strategic partnership to optimize patient ... care and business outcomes. KEY RESPONSIBILITIES *Leadership & Organizational Management: *Understand...operations and supporting teams *Skilled in use of clinical technology platforms and resources, such as EMR systems… more
    CenterWell (09/11/25)
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