• Director of Payer Strategy & Contracting

    Growth Ortho (Tampa, FL)
    …as necessary. Cross-Functional Collaboration Work closely with the Revenue Cycle, Finance, Operations , and Clinical teams to ensure alignment on payer ... Job Title: Director of Payer Strategy & Contracting Location: Remote...and/or government payer relationships. Broad-based experience in revenue cycle operations , including billing, coding , collections, and denial… more
    Growth Ortho (07/18/25)
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  • Clinical Pharmacist - Managed Care

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    Clinical Pharmacist in addition to being responsible for the daily Clinical Pharmacist operations and decision-making process related to coverage ... for all aspects of Formulary maintenance and management. The Clinical Pharmacist may also be required to meet with...Management Program. This includes weekly new drug reviews and coding to be submitted to the Pharmacy Benefit Manager,… more
    DOCTORS HEALTHCARE PLANS, INC. (07/25/25)
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  • Dialysis Clinical Manager Registered Nurse…

    Fresenius Medical Center (Plantation, FL)
    …policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and ... and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions...for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison… more
    Fresenius Medical Center (06/14/25)
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  • Dialysis Clinical Manager Registered Nurse…

    Fresenius Medical Center (Naples, FL)
    …Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations . As the facility leader, you will be part of a ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We… more
    Fresenius Medical Center (06/14/25)
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  • Clinical Documentation Liaison

    HCA Healthcare (Tampa, FL)
    …causes and trends. + Represent CDI in multi-departmental projects that have clinical documentation implications. + Participate in coding and documentation pilots ... join an organization that invests in you as a Clinical Documentation Liaison? At HCA Healthcare, you come first....timely physician query completion. + Follow guidance of CDI Operations Manager and Director for alignment of… more
    HCA Healthcare (06/21/25)
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  • Sr Analyst, Scope Management

    Evolent (Tallahassee, FL)
    …authorization and financial scope within Evolent Specialty Services. Reporting to the Director , Clinical Informatics, this role is responsible for acquiring, ... (UM) agreements. This important work is achieved through collaboration across the clinical , operations , product and technical teams. **What You Will Be… more
    Evolent (07/18/25)
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  • Physician Advisor

    AdventHealth (Orlando, FL)
    …liaison for program development. Educate medical staff on correlation between clinical language, coding guidelines, severity of illness, risk of ... DRG assignments. Attend departmental meetings to teach medical staff about coding and documentation improvement guidelines, clinical documentation improvement… more
    AdventHealth (05/15/25)
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  • Community Health Nurse

    MyFlorida (Monticello, FL)
    …Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Your Specific Responsibilities: CLINICAL DUTIES : + Skilled Nursing Care : Ensures ... of receipt of service data, in accordance with the current School Health Coding Manual, DOH coding manual, and DOH-Jefferson performance requirements. + Supply… more
    MyFlorida (07/24/25)
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  • RN Nurse Manager Cardiac Cath Lab

    HCA Healthcare (West Palm Beach, FL)
    …will also communicate with revenue services as well as billing and coding to support revenue integrity in the cardiovascular services. The Cardiovascular Services ... Manager will manage daily operations by continually planning, managing, implementing and evaluating ...to patients. Under the guidance of the Surigcal Services Director , the Cardiovascular Services Manager will share responsibilities with… more
    HCA Healthcare (07/14/25)
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  • IM-Registration Representative Part Time

    AdventHealth (Tampa, FL)
    …up within established timeframes meets or exceeds wait time goals + Assists with non- clinical operations of the Imaging Center, under the direction of the Center ... etc. + Demonstrates knowledge of insurance for proper classification and coding + Verifies and certifies/authorizes all insurance benefits and other sources… more
    AdventHealth (07/25/25)
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