• Medical Claim Review Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …identified by the Payment Integrity analytical team; requires decision making pertinent to clinical experience + Documents clinical review summaries, bill ... that has a current active unrestricted license This a remote role and can sit anywhere within the United...Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical more
    Molina Healthcare (09/06/25)
    - Related Jobs
  • Divisional Coder III Remote

    AdventHealth (Altamonte Springs, FL)
    …understanding that together we are even better. **Job Location: Monday-Friday - Remote ** **The role you'll contribute:** Assigns codes to hospital inpatient accounts ... programs. Will work with Case Management, the Billing Office, Coding Manager, Clinical Documentation Improvement specialists and the coding team to code and release… more
    AdventHealth (08/07/25)
    - Related Jobs
  • Case Manager, Registered Nurse - Fully…

    CVS Health (Tallahassee, FL)
    …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** **Shift schedule is ... Management. AHH delivers flexible medical management services that support cost-effective quality care for members. **Key Responsibilities** + This position consists… more
    CVS Health (08/15/25)
    - Related Jobs
  • Medical Director/ Clinical Trial Physician…

    ThermoFisher Scientific (Alachua, FL)
    clinical research portfolio, our work spans laboratory, digital and decentralized clinical trial services. Your determination to deliver quality and accuracy ... contribute to review and approval of study protocols and amendments, Clinical Study Reports (CSRs), Informed Consent Forms (ICFs), Case Report Forms (CRFs),… more
    ThermoFisher Scientific (08/13/25)
    - Related Jobs
  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Tallahassee, FL)
    …vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring ... and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of… more
    Datavant (08/08/25)
    - Related Jobs
  • VP Pharmaceutical Trade Relations - REMOTE

    Prime Therapeutics (Tallahassee, FL)
    …decision we make. **Job Posting Title** VP Pharmaceutical Trade Relations - REMOTE **Job Description** The Vice President Pharmaceutical Trade Relations oversees the ... which address changing market demands and ensure Prime is delivering the highest quality and lowest cost of care to its members and related client messaging… more
    Prime Therapeutics (09/03/25)
    - Related Jobs
  • Epic Analyst, Lab Information Systems…

    University of Miami (North Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... University of Miami UHealth/SoLe Mia opening June 2025, will bring high- quality academic medicine to North Miami, Aventura, and surrounding communities. Our expert… more
    University of Miami (08/01/25)
    - Related Jobs
  • Team Lead, Physician Talent Sourcing…

    ChenMed (Miami, FL)
    …for recruitment of those reqs in a timely manner. This is a remote position that directly oversee a skilled team of Physician Talent Sourcing Specialists. ... and team engagement and participates in employee quarterly and yearly performance review process. + Conducts team meetings with COEs and partners with business… more
    ChenMed (08/27/25)
    - Related Jobs
  • Clinical Document Specialist III

    AdventHealth (Orlando, FL)
    … Documentation Specialist (CDS) strategically facilitates and obtains appropriate and quality physician documentation for any clinical conditions or procedures ... better. **Schedule:** Monday to Friday, 40 hrs - Fully Remote - Flexible hours may be between 6a-630pm **Shift:**...severity of illness (SOI), risk of mortality (ROM) and quality . + Completes accurate and timely record review more
    AdventHealth (08/26/25)
    - Related Jobs
  • Disease Management Nurse - Remote

    Sharecare (Tallahassee, FL)
    …supporting each individual through the lens of their personal health and making high- quality care more accessible and affordable for everyone. To learn more, visit ... the goals and objectives of the Disease Management program by providing high quality telephonic and omni - channel support in an appropriate, efficient and… more
    Sharecare (08/13/25)
    - Related Jobs