• DRG Clinical Dispute Reviewer

    Zelis (St. Petersburg, FL)
    …Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based ... outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and billing, analyzing inpatient DRG claims based on industry standard inpatient … more
    Zelis (12/17/25)
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  • Senior Stars Improvement, Clinical Professional

    Humana (Dunedin, FL)
    …operate from the offices with occasional work from home to support focus work. #LI- Hybrid Travel: While this is a remote position, occasional travel to Humana's ... help us put health first** This role is currently remote with travel to provider offices within region The...programs + Data sharing and connectivity + Documentation and coding + Additional areas related to provider performance, member… more
    Humana (12/09/25)
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  • Senior Responsible AI Data Scientist

    Humana (Tallahassee, FL)
    …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… more
    Humana (01/01/26)
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  • Distinguished Software Engineering Lead

    Frontier Technology Inc. (Tampa, FL)
    …that bridge cloud, on-prem, and classified enclaves, ensuring interoperability and compliance . + Cloud Engineering & DevSecOps + Engineer cloud-native solutions in ... AWS GovCloud or hybrid IL4-IL6 environments with strict security and accreditation requirements....+ Build and maintain CI/CD pipelines that embed security, compliance , and automated testing from development through deployment. +… more
    Frontier Technology Inc. (12/19/25)
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  • Director, Partner Practice (South Florida)

    CenterWell (Tallahassee, FL)
    …interrelate across the function or segment. *This is a Southern Florida Hybrid Home/Office role* The Director, Partner Practice Engagement develops and grows ... clinical management, population health, data sharing, connectivity, documentation and coding , HEDIS and STARs performance, operational improvements and other areas… more
    CenterWell (12/30/25)
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  • Data Manager

    Humana (Tallahassee, FL)
    …advanced formulas, pivot tables, charts, V-Lookups and graphs. + Working knowledge with coding in SQL and data extraction and (BI) analysis technologies such as SAS, ... of population health analytics. **Additional Information** + **Workstyle:** This is a remote position with minimal travel. + **Travel:** Up to 10% travel… more
    Humana (12/24/25)
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  • Provider Engagement Professional

    CenterWell (Tallahassee, FL)
    …clinical management, population health, data sharing, connectivity, documentation and coding , HEDIS and STARs performance, operational improvements and other areas ... processes and procedures + Value based care knowledge **Additional Information** + Remote role + <50% local travel between clinics; mileage reimbursement will be… more
    CenterWell (12/16/25)
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  • Medical Record Retrieval Specialist

    Humana (Alachua, FL)
    …records into a secure system. The records are reviewed by Humana's Coding staff. The Medical Record Retrieval Representative (Risk Adjustment Representative 3): + ... round of interviews. **Work at Home Guidance** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of… more
    Humana (12/24/25)
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  • Senior Stars Clinical Consultant RN

    Humana (Gainesville, FL)
    …a part of our caring community and help us put health first** This is a hybrid position- requires onsite provider visits up to 40% of the time and is not fully ... remote . The Senior Stars Improvement, Clinical Professional (RN) is...Data sharing and connectivity, interoperability opportunities + Documentation and coding + Additional areas related to provider performance, member… more
    Humana (12/07/25)
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  • Solutions Architect

    Eliassen Group (Tallahassee, FL)
    …Contract-to-Hire **Category:** Architecture **Industry:** Insurance **Workplace Type:** Remote **Reference ID:** JN -122025-104688 **Date Posted:** 12/09/2025 ... **Shortcut:** http://careers.eliassen.com/F0sCjY + Description + Recommended Jobs **Description:** Remote | EST hours preferred We are seeking a Solution Architect… more
    Eliassen Group (12/18/25)
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