• Sr. Medical Analyst, RWD

    Norstella (Tallahassee, FL)
    …laboratory data, in an academic or industry setting. + Experience working with healthcare coding systems (CPT, NDC, ICD-10) and drug/medication data. + Strong ... Sr. Medical Analyst, RWD Company: MMIT Location: Remote, United...In this role, you will leverage your expertise in ** healthcare data analytics** to extract meaningful insights from **real-world… more
    Norstella (10/28/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Tallahassee, FL)
    …help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care ... variable factors. The Medical Director relies on medical background and reviews health claims . The...An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes,… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N. Central

    Humana (Tallahassee, FL)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background,...but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more
    Humana (10/25/25)
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  • Senior Analyst, Investigations

    CVS Health (Tallahassee, FL)
    …skills, with experience in healthcare fraud detection. + Proficiency in interpreting claims data, medical coding , and regulatory frameworks. + Excellent ... and coding practices, verifying document authenticity, and identifying false claims or improper billing. + **Data-Driven Analysis** : Utilizes advanced data… more
    CVS Health (11/26/25)
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  • Business Systems Analyst 3 - Revenue Integrity

    University of Miami (Miami, FL)
    …(billing, coding , or financial analysis) preferred + Understanding of healthcare billing, coding (CPT, ICD-10, HCPCS), charge capture, and reimbursement ... operational healthcare , hospital and/or ambulatory and inpatient workflows and medical terminology. + Ability to communicate ideas and problem solutions +… more
    University of Miami (11/20/25)
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  • Associate Director, Revenue Cycle Management…

    ChenMed (Miami, FL)
    …incumbent in this role assists with the strategic alignment and oversight of claims assembly and submission processes. In close collaboration with Billing, Coding ... The incumbent also serves as a subject matter expert on risk-adjustment and medical economics to aid in the development of revenue related products and tools.… more
    ChenMed (11/06/25)
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  • Clinical Research Analyst, Senior - Remote

    Prime Therapeutics (Tallahassee, FL)
    …lead analyst in producing reports, scorecards, or other data using Pharmacy and/or Medical claims data to support projects and initiatives throughout the ... relevant Healthcare experience including: analyzing and using healthcare claims data, clinical research study design,...study design, and/or epidemiology + Previous experience with SQL coding + Must be eligible to work in the… more
    Prime Therapeutics (11/25/25)
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  • Provider Engagement Network Specialist

    Centene Corporation (Tallahassee, FL)
    …in managed care environment, medical provider office, customer service within a healthcare organization, and medical claims . Knowledge of health care, ... Complies with all policies and standards **Education/Experience:** Associate's degree and claims processing, billing and/or coding experience preferred. Three… more
    Centene Corporation (11/27/25)
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  • Senior Field Reimbursement Manager - South East

    Danaher Corporation (Orlando, FL)
    …/ customer facing role responsible for delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics. This role ... this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff and financial decision makers on Cepheid… more
    Danaher Corporation (10/15/25)
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  • Field Reimbursement Director (Remote USA)

    Danaher Corporation (Orlando, FL)
    …/ customer facing role responsible for delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics. This role ... will have the opportunity to: + Provide education to internal colleagues, healthcare providers, lab professionals, office staff and financial decision makers on… more
    Danaher Corporation (10/02/25)
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