• Healthcare .NET Senior Application Developer…

    Highmark Health (Tallahassee, FL)
    **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...RESPONSIBILITIES** + Takes a lead role for analyzing, designing, coding , testing and implementing more complex application enhancements, as… more
    Highmark Health (08/14/25)
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  • Clinical Documentation and Claims Integrity…

    Elevance Health (Tampa, FL)
    …an MPH, MHA, MBA, or MSN, or alternatively, training or certifications in health information technology. + Process improvement certification such as Six Sigma ... an accommodation is granted as required by law. CareBridge Health is a proud member of the Elevance ...of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or any combination… more
    Elevance Health (09/24/25)
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  • Inpatient Medical Coder - FT - Up to $5,000 Sign…

    Datavant (Tallahassee, FL)
    …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the… more
    Datavant (09/24/25)
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  • Provider Reimburse Admin Sr

    Elevance Health (Miami, FL)
    …criteria. Serves as subject matter expert regarding reimbursement policies, edits, and coding conventions. Primary duties may include, but are not limited to: + ... which would provide an equivalent background. + RN; Medical billing and coding certification strongly preferred. Please be advised that Elevance Health … more
    Elevance Health (09/30/25)
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  • Investigator II

    Elevance Health (Tampa, FL)
    …enterprise-wide specific healthcare investigations that may impact more than one company health plan, line of business and/or state + Claim reviews for appropriate ... coding , data mining, entity review, law enforcement referral, and...programs management with heavy emphasis in negotiation preferred + Health insurance, law enforcement experience preferred + Advanced Data… more
    Elevance Health (09/30/25)
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  • Provider Auditor (Certified Medical Coder)

    Elevance Health (Tampa, FL)
    …week. The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud member of the Elevance ... Health family of companies, Carelon Insights, formerly Payment Integrity,...would provide an equivalent background. RN, LPN or medical coding certification strongly preferred. **Preferred Skills, Capabilities, and Experiences:**… more
    Elevance Health (09/24/25)
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  • AI Agentic Experience Design Director

    Elevance Health (FL)
    …areas will include employers, brokers, members, provider, community constituents and Elevance Health associates. **How you will make an impact:** + Hands-on work ... Word, Excel) required. **Preferred Skills, Capabilities, and Experiences:** + Health industry, management consulting or related experience strongly preferred. +… more
    Elevance Health (09/17/25)
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  • Patient Services Coordinator LPN Home…

    CenterWell (Deland, FL)
    …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... part of our caring community and help us put health first** The Patient Services Coordinator-LPN is directly responsible...lab to doctor, make a copy for the Case Manager , and route to Medical Records Department. Initiate Employee… more
    CenterWell (09/23/25)
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  • Nurse Reviewer I

    Elevance Health (FL)
    …and Capabilities:** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding , and managed health care including HMO,PPOand POS plans strongly ... 6:00 PM CST or PST (Local Time) A proud member of the Elevance Health family of companies, **Carelon Medical Benefits Management** , formerly AIM Specialty Health… more
    Elevance Health (09/26/25)
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  • Nurse Reviewer Associate

    Elevance Health (FL)
    …is granted as required by law._ A proud member of the Elevance Health family of companies, **Carelon Medical Benefits Management,** formerly AIM Specialty Health ... initial medical necessity clinical screening. + Determines if initial clinical information presented meets medical necessity criteria or requires additional medical… more
    Elevance Health (09/26/25)
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